UC IRVINE HEALTH SPECIALTY CLINIC- TUSTIN NPI 1356731962

NPI Information

NPI: 1356731962
Provider Name: UC IRVINE HEALTH SPECIALTY CLINIC- TUSTIN
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1451 IRVINE BLVD
TUSTIN, CA
ZIP 92780
Phone: (714) 838-8878
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UC IRVINE HEALTH SPECIALTY CLINIC- TUSTIN is a health service clinic center in Tustin, CA. UC IRVINE HEALTH SPECIALTY CLINIC- TUSTIN NPI is 1356731962. The provider is registered as an organization entity type.

The provider's business location address is:

1451 IRVINE BLVD
TUSTIN, CA
ZIP 92780-804
Phone: (714) 838-8878
Fax: (714) 838-8988

The provider's authorized official is Roger L. Crumley .
The authorized official title is Interim President and has the following contact phone number (714) 456-2986.

The enumeration date for this NPI number is 2/3/2015 and was last updated on 10/21/2015.

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	261QH0100X	Clinic/Center	Health Service			Yes

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

NPI Synchronization or Removal

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