Healthcare Provider Details

I. General information

NPI: 1477868008
Provider Name (Legal Business Name): ICEC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2010
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 PASTEUR STE 100
IRVINE CA
92618-3813
US

IV. Provider business mailing address

8 PASTEUR STE 100
IRVINE CA
92618-3813
US

V. Phone/Fax

Practice location:
  • Phone: 949-788-9236
  • Fax:
Mailing address:
  • Phone: 949-788-9236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MS. SHARON B SCOTT
Title or Position: CFO
Credential:
Phone: 949-857-0255