Organization
IRVINE EMERGENCY PHYSICIANS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MULLARKY MD (PRESIDENT)
(800) 962-3303
Entity
Organization
Contact information
Practice address
16200 SAND CANYON AVE, IRVINE, CA 92618-3714
(949) 753-2000
Mailing address
2 SAN RAFAEL PL, LAGUNA NIGUEL, CA 92677-7622
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0067300
—
CA
Enumeration date
07/07/2006
Last updated
09/07/2007
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