Tustin Irvine Internal Medicine Group Inc.

LBN: Tustin Irvine Internal Medicine Group Inc.
Tustin Irvine Internal Medicine Group Inc. is an health care organization with primary practice located at 17400 Irvine Blvd Suite F, Tustin CA 92780-3030. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Tustin Irvine Internal Medicine Group Inc. can be contacted via phone (714) 838-5610, or through Ficarola, Mario S via phone (714) 838-5610.

Contact Information

Primary practice address
17400 Irvine Blvd Suite F Tustin CA 92780-3030
Fax: (714) 838-5931
Website:
Authorized official contact:
Name: Ficarola, Mario S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1689633125
LBN Legal business name Tustin Irvine Internal Medicine Group Inc.
DBA Doing business as
Authorized official Ficarola, Mario S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2006
Last updated Jun 10th, 2011 - about 13 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 1689633125 NPPES
California Other YYY 42455 Y BLUE SHIELD
California Other 1962544494 BLUE SHIELD
California MEDICAID YYY 42455 Y BLUE SHIELD

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