# UC IRVINE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356701304
- **Authorized official:** MR. PATRICK B. TIERNEY MPT (PHYSCIAL THERAPIST II)
- **Authorized official phone:** (714) 456-5571

## Contact information

- **Practice address:** 200 S MANCHESTER AVE STE 100, ORANGE, CA 92868-3221
- **Practice address phone:** (714) 456-5571
- **Mailing address:** 200 S MANCHESTER AVE STE 100, ORANGE, CA 92868-3221
- **Mailing address phone:** (714) 456-5571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | PT24595 | CA | Yes |

## Other

- **Enumeration date:** 03/03/2016
- **Last updated:** 03/03/2016