Organization
UNIVERSITY OF CALIFORNIA AT IRVINE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER CARL REYNARD MD (RESIDENT PHYSICIAN)
(949) 939-7106
Entity
Organization
Contact information
Practice address
31865 CIRCLE DR, LAGUNA BEACH, CA 92651-6860
(949) 939-7106
Mailing address
31865 CIRCLE DR, LAGUNA BEACH, CA 92651-6860
(949) 939-7106
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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