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INTERNAL MEDICINE ASSOC OF SAND CANYON NPI 1578663035


NPI Information

NPI: 1578663035
Provider Name: INTERNAL MEDICINE ASSOC OF SAND CANYON
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D1100527

Address:
113 WATERWORKS WAY
SUITE 250
IRVINE, CA
ZIP 92618
Phone: (949) 753-1522
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INTERNAL MEDICINE ASSOC OF SAND CANYON is an internal medicine in Irvine, CA. The provider is 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. INTERNAL MEDICINE ASSOC OF SAND CANYON NPI is 1578663035. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

113 WATERWORKS WAY
SUITE 250
IRVINE, CA
ZIP 92618-169
Phone: (949) 753-1522
Fax: (949) 753-6075

The provider's authorized official is Ahsan Rashid .
The authorized official title is President and has the following contact phone number (949) 753-1522.

The CLIA number assigned to this NPI record is 05D1100527 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 11/23/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineA48233CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E90062MEDICARE UPINCALIFORNIA

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: 11/14/2023

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