| Tustin Office | |
|
18102 Irvine Blvd Suite 105 Tustin CA 92780-3402 | |
| (714) 832-0510 | |
| Not Available |
| Full Name | Tustin Office |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 18102 Irvine Blvd, Tustin, California |
| Authorized Official Name and Position | Jennifer Yonis (OPERATIONS MANAGER) |
| Authorized Official Contact | 7146399401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tustin Office 1310 W Stewart Dr Suite 410 Orange CA 92868-3854 Ph: (714) 639-9401 | Tustin Office 18102 Irvine Blvd Suite 105 Tustin CA 92780-3402 Ph: (714) 832-0510 |
| NPI Number | 1720247455 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 03/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720247455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | () | Primary |
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