Organization
INJURED WORKERS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VRIJESH SHANTANU TANTUWAYA MD (PRESIDENT)
(858) 472-1380
Entity
Organization
Contact information
Practice address
4600 CAMPUS DR STE 108, NEWPORT BEACH, CA 92660-1885
(949) 769-6071
Mailing address
14252 CULVER DR STE 295, IRVINE, CA 92604-0317
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
08/22/2020
Last updated
08/22/2020
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