05D0579825 CLIA NUMBER - TUSTIN IRVINE INTERNAL MED GROUP, INC

Laboratory Demographics

CLIA Number: 05D0579825

Facility Name: TUSTIN IRVINE INTERNAL MED GROUP, INC

Facility Address:
15000 KENSINGTON PARK DRIVE SU
TUSTIN, CA
ZIP 92782
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Facility Phone Number: (714) 838-5610

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1689633125

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 05D0579825
LAB Type PHYSICIAN OFFICE
Facility Name TUSTIN IRVINE INTERNAL MED GROUP, INC
Street 15000 KENSINGTON PARK DRIVE SU
City TUSTIN
State CA
ZIP 92782
Phone (714) 838-5610

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This page was last updated on: 1/7/2022