Individual
JOHN ALEXANDER IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 S FAIR OAKS AVE, SUITE 280, PASADENA, CA 91105-2613
(626) 817-4747
(626) 817-4702
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G59884
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006598840
BLUE SHIELD
CA
05
—
006598840
—
CA
01
—
180037512
MEDICARE RAILROAD
CA
Enumeration date
12/15/2006
Last updated
01/29/2025
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