Provider Demographics
NPI:1659580744
Name:SPECTRUM INTERNAL MEDICINE ASSOCIATES, INC. A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:SPECTRUM INTERNAL MEDICINE ASSOCIATES, INC. A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNIYOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-272-3800
Mailing Address - Street 1:PO BOX 60099
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-6003
Mailing Address - Country:US
Mailing Address - Phone:949-272-3800
Mailing Address - Fax:949-262-0089
Practice Address - Street 1:4870 BARRANCA PKWY
Practice Address - Street 2:SUITE 250
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4709
Practice Address - Country:US
Practice Address - Phone:949-272-3800
Practice Address - Fax:949-262-0089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty