# IRVINE ORTHOPAEDIC ASSOCIATES

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

## Provider details

- **NPI number:** 1558378695
- **Authorized official:** DEBBIE BLACK (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (949) 727-3636

## Contact information

- **Practice address:** 16300 SAND CANYON AVE, SUITE 511, IRVINE, CA 92618-3705
- **Practice address phone:** (949) 727-3636
- **Practice address fax:** (949) 727-9515
- **Mailing address:** 16300 SAND CANYON AVENUE, SUITE 511, IRVINE, CA 92618-3705
- **Mailing address phone:** (949) 727-3636
- **Mailing address fax:** (949) 727-9515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 08/25/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1558378695 | NPI | — |
| 01 | — | FNP35560 | LICENSE | CA |