Organization
LUMINA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH BRILL (ADMINISTRATOR)
(951) 417-2766
Entity
Organization
Contact information
Practice address
18001 SKY PARK CIR STE K, IRVINE, CA 92614-0506
(866) 665-8646
Mailing address
3731 S PLAZA DR, SANTA ANA, CA 92704-7463
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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