Provider Demographics
NPI:1114349701
Name:UC IRVINE CARDIOPULMONARY CLINIC
Entity Type:Organization
Organization Name:UC IRVINE CARDIOPULMONARY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, PEDIATRIC ELECTROPHYS
Authorized Official - Prefix:
Authorized Official - First Name:ANJAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BATRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-456-2986
Mailing Address - Street 1:PO BOX 54559
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90054-0559
Mailing Address - Country:US
Mailing Address - Phone:714-456-3724
Mailing Address - Fax:714-456-8101
Practice Address - Street 1:1140 W LA VETA AVE
Practice Address - Street 2:SUITE 750
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4225
Practice Address - Country:US
Practice Address - Phone:855-563-5320
Practice Address - Fax:714-456-4420
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF CALIFORNIA REGENTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty