Irvine, John A

Irvine, John A is an individual health care provider with primary practice located at 625 S Fair Oaks Ave Suite 280, Pasadena CA 91105-2613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Irvine, John A can be contacted via phone (626) 817-4747.

Contact Information

Primary practice address
625 S Fair Oaks Ave Suite 280 Pasadena CA 91105-2613
Phone: (626) 817-4747
Fax: (626) 817-4702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G59884 California

Profile Details

NPI number 1316009103
LBN Legal business name Irvine, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jan 15th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316009103 NPPES
California MEDICAID 006598840
California Other 006598840
California Other 180037512

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