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General NPI Number Information
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NPI Number | 1265384184
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSURE MANAGEMENT LLC
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 9 EXECUTIVE CIR STE 105
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City | IRVINE
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State | CA
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Zip | 92614-6797
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Country | US
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Telephone | 949-413-0609
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Fax |
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Provider Business Mailing Address
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Address Line | 1712 PIONEER AVE STE 500
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City | CHEYENNE
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State | WY
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Zip | 82001-4406
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | DR. KIRAN VIRANI
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Credential |
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Telephone | 619-977-0140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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