Fountain Valley Integrative Physical Medicine

LBN: Fountain Valley Integrative Physical Medicine
Fountain Valley Integrative Physical Medicine is an health care organization with primary practice located at 18042 Magnolia St , Fountain Valley CA 92708-5603. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Fountain Valley Integrative Physical Medicine can be contacted via phone (714) 962-1674, or through Dellorusso, James Kenneth via phone (714) 962-1674.

Contact Information

Primary practice address
18042 Magnolia St Fountain Valley CA 92708-5603
Phone: (714) 962-1674
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dellorusso, James Kenneth Doctor of Medicine (MD)
Phone: (714) 962-1674

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A45146 California

Profile Details

NPI number 1942642533
LBN Legal business name Fountain Valley Integrative Physical Medicine
DBA Doing business as
Authorized official Dellorusso, James Kenneth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2013
Last updated Dec 19th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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