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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