UC IRVINE MEDICAL GROUP- TUSTIN

TUSTIN, CA
NPI1629454335
Entity TypeOrganization
Authorized ContactMANUEL PORTO
President
714-456-2986
Organization Subpart ?Yes
Primary Taxonomy261QM2500X Clinic/Center, Medical Specialty
Enumeration Date2015-08-04
Last Update Date2015-08-04
Business Address
UC IRVINE MEDICAL GROUP- TUSTIN
1451 IRVINE BLVD
TUSTIN, CA 92780-3804
Phone number: 714-938-8897
Mailing Address
UC IRVINE MEDICAL GROUP- TUSTIN
PO BOX 513980
LOS ANGELES, CA 90051-3980
Phone number: 714-456-6431