| Uc Irvine Medical Center- Geriatrics, Primary Care | |
|
101 The City Dr S Senior Center, Pav Iv Orange CA 92868-3201 | |
| (714) 456-7007 | |
| (714) 456-2890 |
| Full Name | Uc Irvine Medical Center- Geriatrics, Primary Care |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 101 The City Dr S, Orange, California |
| Authorized Official Name and Position | Manuel Porto (INTERIM PRESIDENT) |
| Authorized Official Contact | 7144562986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uc Irvine Medical Center- Geriatrics, Primary Care Po Box 54509 Los Angeles CA 90054-0509 Ph: (714) 456-3856 | Uc Irvine Medical Center- Geriatrics, Primary Care 101 The City Dr S Senior Center, Pav Iv Orange CA 92868-3201 Ph: (714) 456-7007 |
| NPI Number | 1184002198 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 05/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184002198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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