NPI 1528100187
Memorialcare Medical Group, INC.
Practice location
- Address
- 31001 Rancho Viejo Rd Suite 200, San Juan Capistrano, CA 92675
- Phone
- (949) 661-9600
- Mailing address
- 5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705
Authorised official
- Name
- Kenny Heine
- Title
- Vp of Operations
- Phone
- (858) 625-2990
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1528100187
- Entity type
- Organization
- NPI issued
- 12 Feb 2007
- Record last updated
- 30 Jun 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.