Organization · Type 2 NPI

Minuteclinic Diagnostic Medical Group of Orange County Inc

Nurse Practitioner · Irvine, CA

NPI number 1104013879 Active

Practice location

14330 Culver Dr
Irvine, CA 92604-0303

Call (866) 389-2727 Map

Fax (401) 406-3539

Mailing address

PO Box 772, Minuteclinic Credentialing
Woonsocket, RI 02895-0784

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104013879

Minuteclinic Diagnostic Medical Group of Orange County Inc's National Provider Identifier is 1104013879, issued on Sep 26, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Irvine, CA. The record was last updated on Oct 11, 2024.