Organization
JOSEPH MEDICAL GROUP, INC.
Active
Parent organization
MEDVANTX, INC.
Other names
JOSEPH MEDICAL GROUP - IRVINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
15775 LAGUNA CANYON RD, STE 210, IRVINE, CA 92618-3189
(949) 222-9158
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A97227
CA
Other
Enumeration date
02/09/2012
Last updated
06/24/2015
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