Healthcare Provider Details

I. General information

NPI: 1225476567
Provider Name (Legal Business Name): MEDLAND MEDICAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2013
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18062 IRVINE BLVD STE 206
TUSTIN CA
92780-3329
US

IV. Provider business mailing address

18062 IRVINE BLVD STE 206
TUSTIN CA
92780-3329
US

V. Phone/Fax

Practice location:
  • Phone: 714-505-6030
  • Fax: 714-505-6032
Mailing address:
  • Phone: 714-505-6030
  • Fax: 714-505-6032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: OMID HAGHIGHINIA
Title or Position: PRESIDENT
Credential: DC
Phone: 714-505-6030