Organization
AMISUB IRVINE MEDICAL CENTER), INC.
Active
Other names
Irvine Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET)
(818) 436-2267
Entity
Organization
Contact information
Practice address
16200 SAND CANYON AVE, IRVINE, CA 92618-3714
(949) 753-2000
Mailing address
FILE 57547, LOS ANGELES, CA 90074-0001
(626) 300-4122
(949) 753-2131
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
060000275
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000417
HUMANA
—
01
—
004834-0001
PACIFICARE OF CALIFORNIA
—
01
—
050693B000000
SECTION 1011
—
01
—
295398770
AETNA US HEALTHCARE (NATI
—
01
—
55-5531
BC OF CALIFORNIA
—
01
—
8376
HEALTH NET
—
05
—
HSP30693F
—
CA
05
—
HSP40693F
—
CA
01
—
ZZZA3025Z
BS OF CALIFORNIA
—
Enumeration date
07/05/2006
Last updated
03/18/2021
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