Organization
IRVINE ORTHOPAEDIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BLACK (PRACTICE ADMINISTRATOR)
(949) 727-3636
Entity
Organization
Contact information
Practice address
16300 SAND CANYON AVE, SUITE 511, IRVINE, CA 92618-3705
(949) 727-3636
(949) 727-9515
Mailing address
16300 SAND CANYON AVENUE, SUITE 511, IRVINE, CA 92618-3705
(949) 727-3636
(949) 727-9515
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558378695
NPI
—
01
—
FNP35560
LICENSE
CA
Enumeration date
08/02/2006
Last updated
08/25/2010
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