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PACE- UC IRVINE HEALTH FAMILY MEDICINE NPI 1548623390


NPI Information

NPI: 1548623390
Provider Name: PACE- UC IRVINE HEALTH, FAMILY MEDICINE
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
13300 GARDEN GROVE BLVD
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 468-1100
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PACE- UC IRVINE HEALTH, FAMILY MEDICINE is a multi-specialty clinic center in Garden Grove, CA. PACE- UC IRVINE HEALTH, FAMILY MEDICINE NPI is 1548623390. The provider is registered as an organization entity type.

The provider's business location address is:

13300 GARDEN GROVE BLVD
GARDEN GROVE, CA
ZIP 92843-207
Phone: (714) 468-1100
Fax: (714) 468-1071

The provider's authorized official is Manuel Porto .
The authorized official title is President and has the following contact phone number (714) 456-2986.

The enumeration date for this NPI number is 3/30/2016 and was last updated on 3/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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