Organization · Type 2 NPI
Advantmed Provider Network
General Practice Physician · Irvine, CA
NPI number
1710409719
Active
Practice location
17981 Sky Park Cir Bldg 39
Irvine, CA 92614-6309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
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- Pain Management Center of Irvine, Inc.General Practice Physician Irvine, CA NPI 1225404957
- Healthquest Wellness PCGeneral Practice Physician Irvine, CA NPI 1225820343
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- Surgical Assisting of Broward LLCGeneral Practice Physician Irvine, CA NPI 1356281364
About NPI 1710409719
Advantmed Provider Network's National Provider Identifier is 1710409719, issued on Jul 11, 2017. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Irvine, CA. The record was last updated on Oct 9, 2025.