Provider Demographics
NPI:1093716151
Name:STREBIG, JAMES J (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:STREBIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3972 BARRANCA PKWY STE J PMB #233
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-8291
Mailing Address - Country:US
Mailing Address - Phone:949-654-5344
Mailing Address - Fax:
Practice Address - Street 1:62 CORPORATE PARK 120
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-3142
Practice Address - Country:US
Practice Address - Phone:949-654-5344
Practice Address - Fax:949-654-5358
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG52846207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G528460Medicaid
A52368Medicare UPIN
CAG52846Medicare ID - Type Unspecified