Healthcare Provider Details

I. General information

NPI: 1396658993
Provider Name (Legal Business Name): PROGENY CLINICAL RESEARCH MEDICAL PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17782 COWAN SUITE E
IRVINER CA
92614
US

IV. Provider business mailing address

17782 COWAN SUITE E
IRVINER CA
92614
US

V. Phone/Fax

Practice location:
  • Phone: 949-385-6200
  • Fax:
Mailing address:
  • Phone: 949-385-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LINDA TRINH
Title or Position: CO-OWNER
Credential:
Phone: 949-385-6200