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Organization
IRVINE MEDICAL GROUP
Active
Organization
IRVINE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL GROSSMAN (OWNER)
(949) 727-3793
Entity
Organization
Contact information
Practice address
16300 SAND CANYON AVE, SUITE 1009, IRVINE, CA 92618-3711
(949) 727-3793
Mailing address
16300 SAND CANYON AVE, SUITE 1009, IRVINE, CA 92618-3711
(949) 727-3793
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G32042
CA
Other
Enumeration date
04/10/2007
Last updated
06/27/2014
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