SHADY CANYON MEDICAL GROUP NPI 1922245349

NPI Information

  • NPI: 1922245349
  • Provider Name: SHADY CANYON MEDICAL GROUP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 16300 SAND CANYON AVE
    SUITE 901
    IRVINE, CA
    ZIP 92618
  • Phone: (951) 375-8958

Map and Directions

Get Directions

NPI Details

SHADY CANYON MEDICAL GROUP is a family medicine in Irvine, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHADY CANYON MEDICAL GROUP NPI is 1922245349. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16300 SAND CANYON AVE
SUITE 901
IRVINE, CA
ZIP 92618-711
Phone: (951) 375-8958
Fax: (949) 453-8601

The provider's authorized official is Albert Beomjin Chang .
The authorized official title is Ceo and has the following contact phone number (951) 375-8958.

The enumeration date for this NPI number is 1/8/2009 and was last updated on 1/8/2009.

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
1207Q00000XFamily MedicineA77997CALIFORNIAYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI