Organization
INFUSION MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE DILMORE (OPERATIONS DIRECTOR)
(714) 204-7620
Entity
Organization
Contact information
Practice address
17822 BEACH BLVD STE 373, HUNTINGTON BEACH, CA 92647-7115
(714) 274-9536
Mailing address
3943 IRVINE BLVD STE 628, IRVINE, CA 92602-2400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
03/30/2022
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