NPI Provider: 1619972239
Contact Name: Bryan Frank
Position: adm office mgr
Phone: (888) 447-9056
Sourceone Medical Inc Information:
Sourceone Medical Inc organization have npi 1619972239, taxonomy code is 332BC3200X with license number is 103616 in . This Business address located in 38 Tesla, Irvine, CA 92618 California.
Practice Location
Address: 38 Tesla, Irvine, CA 92618
Phone: (888) 447-9056
Business Location
Address: 38 Tesla, Irvine, CA 92618
Phone: (888) 447-9056
Fax: (800) 588-1253
Taxonomy
Taxonomy Code: 332BC3200X
License Number: 103616
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 6/20/2005
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