Maria Teresa Corpin Agner, MD
Individual provider Active NPI Internal Medicine Physician · Irvine, CA
NPI 1013087410 · NPPES record last updated Nov 22, 2016
Key facts
- NPI
- 1013087410
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A70721 (CA)
- Practice address
- 11 Technology Dr
Irvine, CA 92618-2302 - Phone
- (855) 206-6764
- Fax
- (949) 923-3575
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A70721 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GN Medical Associates, Inc. | Past |
Accepting new patients | |
| Monarch Healthcare, a Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- mariatheresa.agner.p7@direct.monarchhealthcare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A70721 | CA | Yes |
Addresses
Primary practice location
11 Technology Dr
Irvine, CA 92618-2302
Mailing address
11 Technology Dr
Irvine, CA 92618-2302
Phone (855) 206-6764
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All providers in Irvine, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.