| Woodbury Medical Group Inc. | |
|
6340 Irvine Blvd Irvine CA 92620 | |
| (949) 559-6500 | |
| (949) 559-6510 |
| Full Name | Woodbury Medical Group Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6340 Irvine Blvd, Irvine, California |
| Authorized Official Name and Position | Felix Horng (PRESIDENT) |
| Authorized Official Contact | 9495596500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodbury Medical Group Inc. Po Box 15787 Newport Beach CA 92659-5787 Ph: (949) 559-6500 | Woodbury Medical Group Inc. 6340 Irvine Blvd Irvine CA 92620 Ph: (949) 559-6500 |
| NPI Number | 1356400683 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 02/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356400683 | NPI | - | NPPES |
| DN6184 | Other | CA | MEDICARE RAIL ROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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