Provider Demographics
NPI:1083897433
Name:MUTUAL HEALTH LLC
Entity Type:Organization
Organization Name:MUTUAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YOURI
Authorized Official - Middle Name:
Authorized Official - Last Name:LAVINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:949-903-4600
Mailing Address - Street 1:3 PARK PLZ STE 200
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-2587
Mailing Address - Country:US
Mailing Address - Phone:949-903-4600
Mailing Address - Fax:949-209-1922
Practice Address - Street 1:3 PARK PLZ STE 200
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-2587
Practice Address - Country:US
Practice Address - Phone:949-903-4600
Practice Address - Fax:949-209-1922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management