Organization
IRENE PE, MD PC
Active
Organization
IRENE PE, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE PE (MD)
(714) 530-5100
Entity
Organization
Contact information
Practice address
12665 GARDEN GROVE BLVD, STE. 606, GARDEN GROVE, CA 92843-1901
(714) 530-5100
Mailing address
12665 GARDEN GROVE BLVD, STE. 606, GARDEN GROVE, CA 92843-1901
(714) 530-5100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A49301
CA
Other
Enumeration date
04/05/2006
Last updated
02/10/2009
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