Tustin Irvine Medical Group, Pc
LBN: Tustin Irvine Medical Group, Pc
Tustin Irvine Medical Group, Pc is an health care organization with primary practice located at 25124 Springfield Ct Suite 200, Valencia CA 91355-1085. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Tustin Irvine Medical Group, Pc can be contacted via phone (661) 678-2600, or through Mallas, Joseph T via phone (661) 678-2626.
Contact Information
Primary practice address
25124 Springfield Ct Suite 200
Valencia CA 91355-1085
Phone: (661) 678-2600
Fax: (661) 678-2700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X |
Profile Details
| NPI number | 1053576876 |
|---|---|
| LBN Legal business name | Tustin Irvine Medical Group, Pc |
| DBA Doing business as | |
| Authorized official | Mallas, Joseph T |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 21st, 2008 |
| Last updated | Feb 9th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053576876 | NPPES |
| Other | CU798A | MEDICARE GROUP PTAN |
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