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NPI Code Detail

MEDICARE: CORNERHEALTH MEDICAL GROUP INC

MEDICARE: CORNERHEALTH MEDICAL GROUP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1194577981
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNERHEALTH MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 2077 HARBOR BLVD STE 100
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-9384
Country : US
Telephone Number : 949-740-7117
Fax Number :
Provider Business Practice Location Address
First Line : 2077 HARBOR BLVD STE 100
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-9384
Country : US
Telephone Number : 949-740-7117
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : NGUYEN-HUONG LUU
Credential : PHARMD
Telephone Number : 949-740-7117
Provider Enumeration Date : 04/04/2024
Last Update Date : 07/11/2025

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Directions to “CORNERHEALTH MEDICAL GROUP INC ” Practice Location

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