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Organization
TUSTIN IRVINE MEDICAL GROUP, INC.
Active
Organization
TUSTIN IRVINE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALEVIZOS D.O. (PRESIDENT)
(949) 206-9100
Entity
Organization
Contact information
Practice address
15751 ROCKFIELD BLVD, IRVINE, CA 92618-2832
(949) 206-9100
Mailing address
15751 ROCKFIELD BLVD, IRVINE, CA 92618-2832
(949) 206-9100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A6108
CA
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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