| NPI | 1285974071 |
|---|---|
| Doing Business As | TUSTIN IRVINE MEDICAL GROUP- SANTA ANA |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Ops 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA A37834) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |