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Organization
INNOVI HEALTHCARE INC.
Active
Organization
INNOVI HEALTHCARE INC.
Active
Parent organization
INNOVI HEALTHCARE INC.
Other names
Innovi Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNOVI HEALTHCARE INC.
Authorized official
DR. MARIAM S HASAN MD (CEO)
(408) 564-3492
Entity
Organization
Contact information
Practice address
11220 AMBERDALE DR, TUSTIN, CA 92782-4329
(949) 336-1875
(844) 946-0854
Mailing address
11220 AMBERDALE DR, TUSTIN, CA 92782-4329
(949) 336-1875
(844) 946-0854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/14/2026
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