Canyon Pacific Ob Gyn in Irvine - Obstetrics
Canyon Pacific Ob Gyn - NPI 1134246317
Canyon Pacific Ob Gyn is a Obstetrics in Irvine, California. Canyon Pacific Ob Gyn practices all healthcare services and medical treatments related to Obstetrics. The NPI Number for Canyon Pacific Ob Gyn is 1134246317. The last update date is 2010-04-22.
Canyon Pacific Ob Gyn's current location address is 16300 Sand Canyon Ave, Irvine, California. You can contact this provider via phone number 9497530601. The mailing address for Canyon Pacific Ob Gyn is 16300 Sand Canyon Ave, Irvine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Canyon Pacific Ob Gyn |
|---|---|
| Address | 16300 Sand Canyon Ave, Irvine, California |
| Phone Number | 9497530601 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hagadorn Bruce |
| Credentials | M.D. |
| Telephone Number | 9497530601 |
NPI Number Detail
| NPI Number | 1134246317 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2010-04-22 |
Provider Mailing Address Detail
| Address | 16300 Sand Canyon Ave |
|---|---|
| City | Irvine |
| State | California (CA) |
| Post Code | 926183711 |
| Phone Number | 9497530601 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics |
|---|---|
| Taxonomy | 207Vx0000X |
| Licence No | G71549 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. |
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What is the unique 10-digit identifier code issued to Canyon Pacific Ob Gyn by the Centers for Medicare & Medicaid Services?
The Canyon Pacific Ob Gyn has been assigned the NPI (National Provider Identifier) 1134246317 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Canyon Pacific Ob Gyn's physical address?
The Canyon Pacific Ob Gyn is physically located at 16300 Sand Canyon Ave, in the city of Irvine, CA, with the postal code 926183711.
What is Canyon Pacific Ob Gyn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Canyon Pacific Ob Gyn is Obstetrics, and the taxonomy classification code that categorizes this area of expertise is 207Vx0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134246317 to Canyon Pacific Ob Gyn?
The Centers for Medicare & Medicaid Services originally issued the 1134246317 to Canyon Pacific Ob Gyn on 2007-03-23.
When was the Canyon Pacific Ob Gyn's information last updated?
The Canyon Pacific Ob Gyn's information was last updated on 2010-04-22.
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