Organization
HOUSE DOCTORS MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TENGIS RIZNIS M.D. (CEO)
(760) 219-1311
Entity
Organization
Contact information
Practice address
4902 IRVINE CENTER DR, SUITE 105, IRVINE, CA 92604-3305
(949) 262-1331
(760) 862-9126
Mailing address
PO BOX 51163, IRVINE, CA 92619-1163
(760) 219-1311
(760) 862-9126
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A86212
CA
261QP2300X
Primary Care Clinic/Center
A86212
CA
Other
Enumeration date
12/08/2007
Last updated
07/09/2008
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