| Irvine Family Medicine, Inc. | |
|
4950 Barranca Pkwy Suite 103c Irvine CA 92604-4671 | |
| (949) 552-8585 | |
| (949) 552-8615 |
| Full Name | Irvine Family Medicine, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4950 Barranca Pkwy, Irvine, California |
| Authorized Official Name and Position | Michael J Shaw (OWNER) |
| Authorized Official Contact | 9495528585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irvine Family Medicine, Inc. 4950 Barranca Pkwy Suite 103c Irvine CA 92604-4671 Ph: (949) 552-8585 | Irvine Family Medicine, Inc. 4950 Barranca Pkwy Suite 103c Irvine CA 92604-4671 Ph: (949) 552-8585 |
| NPI Number | 1831291665 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 05/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831291665 | NPI | - | NPPES |
| 1952369225 | Other | TYPE 1 NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G39931 (California) | Primary |
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