Organization
BAY BACK CLINICAL INFUSIONS PC
Active
Parent organization
SYMMETRY MEDICAL INFUSIONS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SYMMETRY MEDICAL INFUSIONS PC
Authorized official
DR. JOHN EDWARD HUMISTON MD (FAMILY MEDICINE)
(619) 550-7636
Entity
Organization
Contact information
Practice address
2675 IRVINE AVE STE 116, COSTA MESA, CA 92627-6604
(310) 740-7864
(949) 449-8325
Mailing address
3943 IRVINE BLVD STE 628, IRVINE, CA 92602-2400
(310) 740-7864
(949) 449-8325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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