Provider Demographics
NPI:1689744872
Name:BRINCETON M PHIPPS MD INCORPORATED
Entity Type:Organization
Organization Name:BRINCETON M PHIPPS MD INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPAEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:BRINCETON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PHIPPS
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:949-364-2154
Mailing Address - Street 1:2 UNION ST
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-0418
Mailing Address - Country:US
Mailing Address - Phone:949-429-5943
Mailing Address - Fax:949-429-5943
Practice Address - Street 1:26730 CROWN VALLEY PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6364
Practice Address - Country:US
Practice Address - Phone:949-364-2154
Practice Address - Fax:949-364-2110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA80064174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty