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1467815241
UC IRVINE HEALTH MEDICAL GROUP- TUSTIN, FAM MED
TUSTIN, CA
NPI
1467815241
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Entity Type
Organization
Authorized Contact
MANUEL PORTO
President
714-456-2986
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2016-03-30
Last Update Date
2016-03-30
Business Address
UC IRVINE HEALTH MEDICAL GROUP- TUSTIN, FAM MED
1451 IRVINE BLVD
TUSTIN, CA 92780-3804
Phone number: 714-456-7002
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Mailing Address
UC IRVINE HEALTH MEDICAL GROUP- TUSTIN, FAM MED
PO BOX 513620
LOS ANGELES, CA 90051-3620
Phone number: 714-456-6585
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