Organization
INTEGRATED CRITICAL CARE AND PULMONARY SPECIALISTS INC.
Active
Organization
INTEGRATED CRITICAL CARE AND PULMONARY SPECIALISTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KENEFICK FAVOR CPA (ACCOUNTANT)
(949) 829-8299
Entity
Organization
Contact information
Practice address
1100 W STEWART DR, ORANGE, CA 92868-3849
(949) 354-3672
Mailing address
24422 AVENIDA DE LA CARLOTA STE 275, LAGUNA HILLS, CA 92653-3669
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
12/29/2017
Last updated
10/03/2019
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