Active NPI
IV for Life
- Infusion Therapy Clinic/Center
- Anaheim, CA
National Provider Identifier
1548638596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- License
- A60996
- Legal business name
- IV FOR LIFE
- Practice address
- 1211 W la Palma Ave
Suite 309
Anaheim, CA 92801-2815 - Phone
- (510) 290-9668
- Fax
- (714) 908-7953
- NPI assigned
- Sep 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bogdan Popa, MD
- Title
- Owner
- Phone
- (510) 290-9668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | A60996 | CA | Primary |
Addresses
Primary practice location
1211 W la Palma Ave
Suite 309
Anaheim, CA 92801-2815
Mailing address
2973 Harbor Blvd
Box 322
Costa Mesa, CA 92626-3912
Phone (510) 290-9668
National Provider Directory
National Provider DirectoryLocations
230 E 17th St
Ste 150
Costa Mesa, CA 92627
Phone (714) 951-1910
188 E 17th St
Ste 100
Costa Mesa, CA 92627
Phone (714) 951-1910
3151 Airway Ave
Ste L3
Costa Mesa, CA 92626
Phone (714) 951-1910
26522 La Alameda
Ste 380
San Juan Capistrano, CA 92691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441670400000",
"number": "1548638596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2973 HARBOR BLVD",
"address_2": "BOX 322",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263912",
"telephone_number": "510-290-9668",
"fax_number": "714-908-7953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE",
"address_2": "SUITE 309",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012815",
"telephone_number": "510-290-9668",
"fax_number": "714-908-7953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IV FOR LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-08",
"last_updated": "2015-09-08",
"status": "A",
"authorized_official_last_name": "POPA",
"authorized_official_first_name": "BOGDAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "510-290-9668",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": "CA",
"license": "A60996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.