Organization
SAND CANYON MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MULLARKY M.D. (PRESIDENT)
(949) 417-0272
Entity
Organization
Contact information
Practice address
16100 SAND CANYON AVE, SUITE 150, IRVINE, CA 92618-3716
(949) 417-0272
Mailing address
PO BOX 96365, OKLAHOMA CITY, OK 73143-6365
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2008
Last updated
08/13/2008
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