Healthcare Provider Details
I. General information
NPI: 1679426332
Provider Name (Legal Business Name): BIOINSIGHTS IRVINE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18818 TELLER AVE STE 170
IRVINE CA
92612-8884
US
IV. Provider business mailing address
18818 TELLER AVE STE 170
IRVINE CA
92612-8884
US
V. Phone/Fax
- Phone: 949-535-2322
- Fax: 949-535-2330
- Phone: 949-535-2322
- Fax: 949-535-2330
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 202D00000X |
| Taxonomy | Integrative Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 204D00000X |
| Taxonomy | Neuromusculoskeletal Medicine & OMM Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KELLY
MCCANN
Title or Position: OWNER
Credential: DO
Phone: 949-535-2322