Organization Active NPI

Harbor Medical Clinic and Wellness Center,Inc.

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1922405877
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A7098 Issued in CA
Legal business name
HARBOR MEDICAL CLINIC AND WELLNESS CENTER,INC.
Practice address
33 Creek Rd BLDG C2ND
Suite 310
Irvine, CA 92604-4791
Phone
(949) 632-5244
Fax
(949) 873-2065
NPI assigned
Nov 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Dr. Sima Mirhashemi, D.O.NPI 1740353283
Title
Ceo/President
Phone
(949) 632-5244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 20A7098 CA Primary

Addresses

Primary practice location

33 Creek Rd BLDG C2ND
Suite 310
Irvine, CA 92604-4791

Mailing address

3334 E Coast Hwy
Suite 522
Corona del Mar, CA 92625-2328
Phone (949) 632-5244

National Provider Directory

National Provider Directory

Locations

33 Creek Rd
Bldg C2ND
Irvine, CA 92604
Phone (949) 632-5244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1922405877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 E COAST HWY",
            "address_2": "SUITE 522",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252328",
            "telephone_number": "949-632-5244",
            "fax_number": "949-873-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CREEK RD BLDG C2ND",
            "address_2": "SUITE 310",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044791",
            "telephone_number": "949-632-5244",
            "fax_number": "949-873-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR MEDICAL CLINIC AND WELLNESS CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "MIRHASHEMI",
        "authorized_official_first_name": "SIMA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "949-632-5244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A7098",
            "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 Dec 29, 2014; 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.