| NPI | 1174756357 |
|---|---|
| Doing Business As | IRVINE PROFESSIONAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MOONMOCK OH President 949-552-8217 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A107209) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2014-04-14 |