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Organization

TUSTIN IRVINE MEDICAL GROUP, PC

Active
Parent organization
U.S. HEALTHWORKS MEDICAL GROUP, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
U.S. HEALTHWORKS MEDICAL GROUP, PC
Authorized official
MR. JOSEPH T MALLAS (ASSISTANT SECRETARY)
(661) 678-2626
Entity
Organization

Contact information

Practice address
25124 SPRINGFIELD CT, SUITE 200, VALENCIA, CA 91355-1085
(661) 678-2600
(661) 678-2700
Mailing address
25124 SPRINGFIELD CT, SUITE 200, VALENCIA, CA 91355-1085
(661) 678-2600
(661) 678-2700

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CU798A
MEDICARE GROUP PTAN
Enumeration date
07/21/2008
Last updated
02/09/2015
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