NPI 1396951141
Credentialling Solutions
Practice location
- Address
- 3333 Michelson Dr Suite 735, Irvine, CA 92612-0625
- Phone
- (949) 260-6500
- Fax
- (949) 833-3736
Authorised official
- Name
- Robert Keith Sorrentino
- Title
- Chief Medical Officer
- Phone
- (949) 260-6580
Registered specialties
Exclusive Provider Organization
Primary
Registry record
- NPI
- 1396951141
- Entity type
- Organization
- NPI issued
- 15 May 2007
- Record last updated
- 22 Aug 2020
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.