MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF ORANGE COUNTY INC. NPI 1104013879

NPI Information

NPI: 1104013879
Provider Name: MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF ORANGE COUNTY, INC.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
14330 CULVER DR
IRVINE, CA
ZIP 92604
Phone: (866) 389-2727
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MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF ORANGE COUNTY, INC. is a family nurse practitioner in Irvine, CA. MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF ORANGE COUNTY, INC. NPI is 1104013879. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14330 CULVER DR
IRVINE, CA
ZIP 92604-303
Phone: (866) 389-2727
Fax: (401) 406-3539

The provider's authorized official is Deborah Pincince .
The authorized official title is Administrator and has the following contact phone number (401) 770-3813.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 2/23/2024.

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
1	1041C0700X	Social Worker	Clinical			No
2	363LF0000X	Nurse Practitioner	Family			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DO3833	OTHER	CALIFORNIA	MEDICARE RAILROAD
2	DO3834	OTHER	CALIFORNIA	MEDICARE RAILROAD

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: 4/28/2024

NPI Synchronization or Removal

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