# HOUSE DOCTORS MEDICAL SERVICES LLC

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

## Provider details

- **NPI number:** 1386827749
- **Authorized official:** DR. TENGIS RIZNIS M.D. (CEO)
- **Authorized official phone:** (760) 219-1311

## Contact information

- **Practice address:** 4902 IRVINE CENTER DR, SUITE 105, IRVINE, CA 92604-3305
- **Practice address phone:** (949) 262-1331
- **Practice address fax:** (760) 862-9126
- **Mailing address:** PO BOX 51163, IRVINE, CA 92619-1163
- **Mailing address phone:** (760) 219-1311
- **Mailing address fax:** (760) 862-9126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A86212 | CA | Yes |
| 261QP2300X | Primary Care Clinic/Center | A86212 | CA | — |

## Other

- **Enumeration date:** 12/08/2007
- **Last updated:** 07/09/2008