Irvine Clinic

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G66853 Issued in CA

Legal business name

IRVINE CLINIC

Practice address

3972 Barranca Pkwy Ste J216
Irvine, CA 92606-1204

Phone

(310) 748-7712

NPI assigned

Sep 7, 2015

Organization subpart

No

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

Authorized official

Name

David Cheng

Title

Secretary

Phone

(310) 748-7712

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1639547706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17208",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926237208",
            "telephone_number": "310-748-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3972 BARRANCA PKWY STE J216",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061204",
            "telephone_number": "310-748-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-07",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "310-748-7712"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G66853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.