Provider Demographics
NPI:1437536513
Name:IRVINE CENTER FOR CLINICAL RESEARCH, INC.
Entity Type:Organization
Organization Name:IRVINE CENTER FOR CLINICAL RESEARCH, INC.
Other - Org Name:IRVINE CLINICAL RESEARCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SITE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-753-1663
Mailing Address - Street 1:2515 MCCABE WAY
Mailing Address - Street 2:SUITE 350
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-9401
Mailing Address - Country:US
Mailing Address - Phone:949-753-1663
Mailing Address - Fax:
Practice Address - Street 1:2515 MCCABE WAY
Practice Address - Street 2:SUITE 350
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-9401
Practice Address - Country:US
Practice Address - Phone:949-753-1663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-28
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch