Tustin Irvine Medical Group, INC
NPI #1366753923 in Irvine, California
Provider Information
- NPI Number
- 1366753923
- Entity Type
- Organization
- Organization Name
- Tustin Irvine Medical Group, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TUSTIN IRVINE MEDICAL GROUP, INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 29, 2010
- Last Updated
- Mar 1, 2011
Practice Location
- Address
- 15751 ROCKFIELD BLVD
- City
- Irvine
- State
- California
- ZIP Code
- 92618-2832
- Phone
- (949) 206-9100
Authorized Official
- Name
- JOHN ALEVIZOS, D.O.
- Title
- PRESIDENT
- Phone
- (949) 206-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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