Healthcare Provider Details

I. General information

NPI: 1841121233
Provider Name (Legal Business Name): IRINA D MUNOZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42455 10TH ST W STE 103
LANCASTER CA
93534-7060
US

IV. Provider business mailing address

42455 10TH ST W STE 103
LANCASTER CA
93534-7060
US

V. Phone/Fax

Practice location:
  • Phone: 661-341-3900
  • Fax: 661-341-3904
Mailing address:
  • Phone: 661-341-3900
  • Fax: 661-341-3904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: