NPI 1215079298
Memorialcare Medical Group, INC.
Practice location
- Address
- 4050 Barranca Pkwy Suite 200, Irvine, CA 92604-7706
- Phone
- (949) 551-1090
- Mailing address
- 9276 Scranton Rd Suite 100, San Diego, CA 92121-7701
Authorised official
- Name
- Kenny Heine
- Title
- Vp of Operations
- Phone
- (858) 625-2990
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1215079298
- Entity type
- Organization
- NPI issued
- 13 Feb 2007
- Record last updated
- 4 Nov 2015
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.