Organization
IRVINE FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J SHAW M.D. (OWNER)
(949) 552-8585
Entity
Organization
Contact information
Practice address
4950 BARRANCA PKWY, SUITE 103C, IRVINE, CA 92604-4671
(949) 552-8585
(949) 552-8615
Mailing address
4950 BARRANCA PKWY, SUITE 103C, IRVINE, CA 92604-4671
(949) 552-8585
(949) 552-8615
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G39931
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952369225
TYPE 1 NPI NUMBER
—
Enumeration date
09/02/2006
Last updated
05/16/2012
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