Provider Demographics
NPI:1053479394
Name:OC HOUSECALLS, INC
Entity Type:Organization
Organization Name:OC HOUSECALLS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ADRIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-426-5300
Mailing Address - Street 1:3943 IRVINE BLVD # 233
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-2400
Mailing Address - Country:US
Mailing Address - Phone:714-426-5300
Mailing Address - Fax:714-417-9578
Practice Address - Street 1:3943 IRVINE BLVD # 233
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-2400
Practice Address - Country:US
Practice Address - Phone:714-426-5300
Practice Address - Fax:714-417-9578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG65552207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG65552Medicare ID - Type Unspecified
CAF11144Medicare UPIN