| Tustin Irvine Medical Group, Inc. | |
|
15751 Rockfield Blvd Irvine CA 92618-2832 | |
| (949) 206-9100 | |
| Not Available |
| Full Name | Tustin Irvine Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 15751 Rockfield Blvd, Irvine, California |
| Authorized Official Name and Position | John Alevizos (PRESIDENT) |
| Authorized Official Contact | 9492069100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tustin Irvine Medical Group, Inc. 15751 Rockfield Blvd Irvine CA 92618-2832 Ph: (949) 206-9100 | Tustin Irvine Medical Group, Inc. 15751 Rockfield Blvd Irvine CA 92618-2832 Ph: (949) 206-9100 |
| NPI Number | 1588898159 |
|---|---|
| Provider Enumeration Date | 05/11/2009 |
| Last Update Date | 05/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588898159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6108 (California) | Primary |
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