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Organization
TUSTIN IRVINE MEDICAL GROUP, PC
Active
Organization
TUSTIN IRVINE MEDICAL GROUP, PC
Active
Parent organization
U.S. HEALTHWORKS MEDICAL GROUP, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. HEALTHWORKS MEDICAL GROUP, PC
Authorized official
MR. JOSEPH T MALLAS (ASSISTANT SECRETARY)
(661) 678-2626
Entity
Organization
Contact information
Practice address
25124 SPRINGFIELD CT, SUITE 200, VALENCIA, CA 91355-1085
(661) 678-2600
(661) 678-2700
Mailing address
25124 SPRINGFIELD CT, SUITE 200, VALENCIA, CA 91355-1085
(661) 678-2600
(661) 678-2700
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
NULL
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/21/2008
Last updated
02/09/2015
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