Whalio Doctors

NPI 1215079298

Memorialcare Medical Group, INC.

Organisation Non-Pharmacy Dispensing Site Irvine, CA

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
Suppliers Taxonomy 332900000X Licence G21256 (CA)

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.