Organization
ENTRUST MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DEL JUNCO M.D. (PRESIDENT)
(714) 543-2000
Entity
Organization
Contact information
Practice address
1140 W LA VETA AVE, STE. 520, ORANGE, CA 92868-4225
(714) 543-2000
Mailing address
PO BOX 5971, ORANGE, CA 92863-5971
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA0248
RAILROAD MEDICARE
—
05
—
GR0093360
—
CA
01
—
GR0093362
CALOPTIMA
—
05
—
GR0093362
—
CA
01
—
ZZZ04646Z
BLUE SHIELD OF CA
—
01
—
ZZZ04647Z
BLUE SHIELD OF CA
—
01
—
ZZZ04648Z
BLUE SHIELD OF CA
—
01
—
ZZZ04649Z
BLUE SHIELD OF CA
—
01
—
ZZZ04650Z
BLUE SHIELD OF CA
—
01
—
ZZZ05312Z
BLUE SHIELD OF CA
—
01
—
ZZZ05313Z
BLUE SHIELD OF CA
—
01
—
ZZZ05314Z
BLUE SHIELD OF CA
—
01
—
ZZZ05315Z
BLUE SHIELD OF CA
—
01
—
ZZZ05316Z
BLUE SHIELD OF CA
—
01
—
ZZZ05317Z
BLUE SHIELD OF CA
—
Enumeration date
08/19/2005
Last updated
10/05/2023
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