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Organization

MNICOLEIRWIN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE IRWIN MD (PRESIDENT)
(714) 389-8133
Entity
Organization

Contact information

Practice address
2701 ATLANTIC AVE, LONG BEACH, CA 90806-2701
(714) 377-6993
(562) 247-9808
Mailing address
PO BOX 5962, HUNTINGTON BEACH, CA 92615-5962
(714) 389-8133
(562) 424-1027

Taxonomy

Speciality
Code
Description
License number
State
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
02/24/2026
Last updated
02/24/2026
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