Emerald Isle Medical Group Inc

NPI 1063601946 - Internal Medicine - 207R00000X

NPI Details
NPI 1063601946
Enumeration Date 10/17/2007
Last Updated 03/08/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BERTRAND BERTRAND
Position OWNER
Phone (714) 444-0440
Fax (714) 444-0550
Practice Location
1504 BROOKHOLLOW DR
SUITE 119
SANTA ANA CA, 92705-5418, US
Phone (714) 444-0440
Fax (714) 444-0550
Business Location
1504 BROOKHOLLOW DR
SUTIE 119
SANTA ANA CA, 92705-5418, US
Phone (714) 444-0440
Fax (714) 524-1628
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A46400
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According to our database, Emerald Isle Medical Group Inc NPI is 1063601946, taxonomy code is 207R00000X and license number is A46400, license state is located at California. Emerald Isle Medical Group Inc physically located at 1504 Brookhollow Dr, Santa Ana CA, 92705-5418. NPI Number 1033115704 has the healthcare provider type.

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1063601946 NPI number is provided on an as is basis without warranty of any kind. 1063601946 is maintained by the National Plan & Provider Enumeration System. The contents of Emerald Isle Medical Group Inc are for informational purposes only.