Healthcare Provider Details

I. General information

NPI: 1801207923
Provider Name (Legal Business Name): IRINA FILIP M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1261 TRAVIS BLVD STE 190
FAIRFIELD CA
94533-4800
US

IV. Provider business mailing address

22922 LOS ALISOS BLVD STE K-122
MISSION VIEJO CA
92691-2856
US

V. Phone/Fax

Practice location:
  • Phone: 844-867-8444
  • Fax: 916-932-0381
Mailing address:
  • Phone: 951-666-3995
  • Fax: 847-221-6847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA143999
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD210901
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: