Organization
IRVINE PHYSICAL MEDICINE & REHABILITATION A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DAIZY GUTIERREZ (BILLING MANAGER)
(949) 552-9393
Entity
Organization
Contact information
Practice address
18124 CULVER DR, SUITE F, IRVINE, CA 92612-2729
(949) 552-9393
(949) 552-5872
Mailing address
18124 CULVER DR, SUITE F, IRVINE, CA 92612-2729
(949) 552-9393
(949) 552-5872
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
DC24241
CA
Other
Enumeration date
09/06/2005
Last updated
05/13/2015
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