Healthcare Provider Details

I. General information

NPI: 1891877015
Provider Name (Legal Business Name): JOSEPH ALINGOD APOSTOL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 11/18/2021
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 AVOCADO AVE SUITE #709
NEWPORT BEACH CA
92660-7720
US

IV. Provider business mailing address

26895 ALISO CREEK RD SUITE B #465
ALISO VIEJO CA
92656-5301
US

V. Phone/Fax

Practice location:
  • Phone: 949-759-1720
  • Fax: 949-759-1442
Mailing address:
  • Phone: 949-716-9460
  • Fax: 949-716-9460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA63272
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: