Organization
F LEE IRWIN JR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANKLIN LEE IRWIN M.D. (OWNER)
(949) 916-8100
Entity
Organization
Contact information
Practice address
26932 OSO PKWY, SUITE 275, MISSION VIEJO, CA 92691-5815
(949) 916-8100
(949) 916-8555
Mailing address
26131 MARGUERITE PKWY, SUITE A, MISSION VIEJO, CA 92692-3161
(949) 582-8584
(949) 582-2943
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A105673
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A105673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409525100
—
CA
01
—
CK243Z
MEDICARE PTAN
CA
Enumeration date
06/29/2009
Last updated
01/20/2012
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