Organization
PULMONARY CONSULTANTS AND PRIMARY CARE PHYSICIANS MEDICAL GROUP, INC.
Active
Other names
Tustin Office
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER YONIS (OPERATIONS MANAGER)
(714) 639-9401
Entity
Organization
Contact information
Practice address
18102 IRVINE BLVD, SUITE 105, TUSTIN, CA 92780-3402
(714) 832-0510
Mailing address
1310 W STEWART DR, SUITE 410, ORANGE, CA 92868-3854
(714) 639-9401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0003350
—
CA
Enumeration date
06/06/2008
Last updated
03/23/2009
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