ENTRUST MEDICAL CORPORATION NPI 1922090372

NPI Information

NPI: 1922090372
Provider Name: ENTRUST MEDICAL CORPORATION
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address: 1140 W LA VETA AVE
STE. 520
ORANGE, CA
ZIP 92868
Phone: (714) 543-2000

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NPI Details

ENTRUST MEDICAL CORPORATION is an otolaryngology in Orange, CA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. ENTRUST MEDICAL CORPORATION NPI is 1922090372. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1140 W LA VETA AVE
STE. 520
ORANGE, CA
ZIP 92868-225
Phone: (714) 543-2000

The provider's authorized official is Robert Del Junco .
The authorized official title is President and has the following contact phone number (714) 543-2000.

The enumeration date for this NPI number is 8/19/2005 and was last updated on 10/5/2023.

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	207Y00000X	Otolaryngology				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	DA0248	OTHER		RAILROAD MEDICARE
2	ZZZ04646Z	OTHER		BLUE SHIELD OF CA
3	ZZZ05312Z	OTHER		BLUE SHIELD OF CA
4	ZZZ04648Z	OTHER		BLUE SHIELD OF CA
5	ZZZ05316Z	OTHER		BLUE SHIELD OF CA
6	GR0093360	MEDICAID	CALIFORNIA
7	GR0093362	MEDICAID	CALIFORNIA
8	ZZZ05313Z	OTHER		BLUE SHIELD OF CA
9	ZZZ05314Z	OTHER		BLUE SHIELD OF CA
10	GR0093362	OTHER		CALOPTIMA
11	ZZZ04650Z	OTHER		BLUE SHIELD OF CA
12	ZZZ04647Z	OTHER		BLUE SHIELD OF CA
13	ZZZ04649Z	OTHER		BLUE SHIELD OF CA
14	ZZZ05315Z	OTHER		BLUE SHIELD OF CA
15	ZZZ05317Z	OTHER		BLUE SHIELD OF CA

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: 11/21/2025

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