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General NPI Number Information
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NPI Number | 1487233201
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Entity Type | Individual
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Provider Name | IRVIN V MA MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 2441 MISSION COLLEGE BLVD
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City | SANTA CLARA
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State | CA
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Zip | 95054-1214
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Country | US
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Telephone | 408-702-6668
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 276950
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City | SACRAMENTO
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State | CA
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Zip | 95827-6950
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A196566
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License Number State | CA
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