NPI 1124263280
Irvine Internal Medical Group, INC.
Practice location
- Address
- 4870 Barranca Pkwy 330, Irvine, CA 92604-4709
- Phone
- (949) 653-5810
- Mailing address
- 5810 Nancy Ridge Dr 100, San Diego, CA 92121-2834
Authorised official
- Name
- Kenny Heine
- Title
- Director of Operations
- Phone
- (858) 625-2990
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1124263280
- Entity type
- Organization
- NPI issued
- 3 Dec 2008
- Record last updated
- 3 Dec 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.