MEMORIALCARE MEDICAL GROUP, INC. is a non pharmacy dispensing site in Aliso Viejo, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) MEMORIALCARE MEDICAL GROUP, INC. NPI is 1710029368. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorialcare Medical Group - Aliso Viejo.
The provider's business location address is:
15 MAREBLU
SUITE 100
ALISO VIEJO, CA
ZIP 92656-015
Phone: (949) 448-0656
The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 625-2990.
The CLIA number assigned to this NPI record is 05D0581012 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 2/12/2007 and was last updated on 4/3/2013.