Organization Active NPI

Corrective Neurodiagnostic

  • General Practice Physician
  • Irvine, CA
National Provider Identifier
1619094695
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G15995 Issued in CA
Legal business name
CORRECTIVE NEURODIAGNOSTIC
Practice address
43 Corporate Park Ste 204
Irvine, CA 92606-5137
Phone
(714) 550-0788
Fax
(714) 550-6001
NPI assigned
Mar 23, 2007
Last updated
Mar 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Irwin Arluk, M.D.
Title
Medical Director
Phone
(714) 550-0788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G15995 CA Primary

Addresses

Primary practice location

43 Corporate Park Ste 204
Irvine, CA 92606-5137

Mailing address

43 Corporate Park Ste 204
Irvine, CA 92606-5137
Phone (714) 550-0788

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1619094695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CORPORATE PARK STE 204",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065137",
            "telephone_number": "714-550-0788",
            "fax_number": "714-550-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CORPORATE PARK STE 204",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065137",
            "telephone_number": "714-550-0788",
            "fax_number": "714-550-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIVE NEURODIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "ARLUK",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-550-0788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G15995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.