Bay Back Clinical Infusions PC
NPI #1538644802 in Costa Mesa, California
Provider Information
- NPI Number
- 1538644802
- Entity Type
- Organization
- Organization Name
- Bay Back Clinical Infusions PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SYMMETRY MEDICAL INFUSIONS PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 2, 2018
- Last Updated
- Oct 2, 2018
Practice Location
- Address
- 2675 IRVINE AVE STE 116
- City
- Costa Mesa
- State
- California
- ZIP Code
- 92627-6604
- Phone
- (310) 740-7864
Authorized Official
- Name
- DR. JOHN EDWARD HUMISTON, MD
- Title
- FAMILY MEDICINE
- Phone
- (619) 550-7636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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