# IRVINE GASTROENTEROLOGY

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

## Provider details

- **NPI number:** 1578887790
- **Authorized official:** FANG YU MD, PHD (PRESIDENT)
- **Authorized official phone:** (949) 679-0000

## Contact information

- **Practice address:** 15825 LAGUNA CANYON RD, SUITE 106, IRVINE, CA 92618-2125
- **Practice address phone:** (949) 679-0000
- **Practice address fax:** (949) 679-0976
- **Mailing address:** 15825 LAGUNA CANYON RD, SUITE 106, IRVINE, CA 92618-2125
- **Mailing address phone:** (949) 679-0000
- **Mailing address fax:** (949) 679-0976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2010
- **Last updated:** 03/17/2010