Uc Irvine Health Pacific Coast Neurosurgery

NPI 1639560881 - Clinic/Center - 261QM2500X

NPI Details
NPI 1639560881
Enumeration Date 02/10/2015
Last Updated 05/04/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ROGER L ROGER
Position INTERIM PRESIDENT
Phone (949) 999-2411
Fax (949) 999-2408
Practice Location
1640 NEWPORT BLVD
SUITE 240
COSTA MESA CA, 92627-3786, US
Phone (949) 999-2411
Fax (949) 999-2408
Business Location
PO BOX 54840
LOS ANGELES CA, 90054-0840, US
Phone (714) 456-3856
Fax (714) 456-8101
Toxanomy
Taxonomy Code 261QM2500X
License State
License Number
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According to our database, Uc Irvine Health Pacific Coast Neurosurgery NPI is 1639560881, taxonomy code is 261QM2500X Uc Irvine Health Pacific Coast Neurosurgery physically located at 1640 Newport Blvd, Costa Mesa CA, 92627-3786. NPI Number 1033115704 has the healthcare provider type.

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1639560881 NPI number is provided on an as is basis without warranty of any kind. 1639560881 is maintained by the National Plan & Provider Enumeration System. The contents of Uc Irvine Health Pacific Coast Neurosurgery are for informational purposes only.