Irvine Physicians Medical Group, Inc.

LBN: Irvine Physicians Medical Group, Inc.
Irvine Physicians Medical Group, Inc. is an health care organization with primary practice located at 3700 South St , Lakewood CA 90712-1419. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Irvine Physicians Medical Group, Inc. can be contacted via phone (800) 883-7243, or through Jaravata, Danilo via phone (800) 883-7243.

Contact Information

Primary practice address
3700 South St Lakewood CA 90712-1419
Phone: (800) 883-7243
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jaravata, Danilo Doctor of Medicine (MD)
Phone: (800) 883-7243

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A52971 California

Profile Details

NPI number 1992890149
LBN Legal business name Irvine Physicians Medical Group, Inc.
DBA Doing business as
Authorized official Jaravata, Danilo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 30th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992890149 NPPES
California MEDICAID 00A529710

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