Provider Demographics
NPI:1851755961
Name:UC IRVINE MEDICAL CENTER
Entity Type:Organization
Organization Name:UC IRVINE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:CHIEN-YUNG
Authorized Official - Last Name:CHOU-OKAMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:714-456-5571
Mailing Address - Street 1:200 S MANCHESTER AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3221
Mailing Address - Country:US
Mailing Address - Phone:714-456-5571
Mailing Address - Fax:714-456-5627
Practice Address - Street 1:200 S MANCHESTER AVE STE 100
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3221
Practice Address - Country:US
Practice Address - Phone:714-456-5571
Practice Address - Fax:714-456-5627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20992282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital