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INTEGRITY HEALTHCARE PROVIDERS PC NPI 1629500665


NPI Information

NPI: 1629500665
Provider Name: INTEGRITY HEALTHCARE PROVIDERS, PC

Doing Business As: OC MEDICAL TUSTIN

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D2183772

Address:
14642 NEWPORT AVE
SUITE 270
TUSTIN, CA
ZIP 92780
Phone: (714) 442-6642
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INTEGRITY HEALTHCARE PROVIDERS, PC is a general practice in Tustin, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee INTEGRITY HEALTHCARE PROVIDERS, PC NPI is 1629500665. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Oc Medical Tustin.

The provider's business location address is:

14642 NEWPORT AVE
SUITE 270
TUSTIN, CA
ZIP 92780-057
Phone: (714) 442-6642
Fax: (714) 442-6652

The provider's authorized official is Arturo Portales .
The authorized official title is Owner and has the following contact phone number (714) 442-6642.

The CLIA number assigned to this NPI record is 05D2183772 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2017 and was last updated on 3/30/2017.


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
1207Q00000XFamily MedicineNo
2207QA0401XFamily MedicineAddiction MedicineNo
3208D00000XGeneral PracticeYes

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

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