MEDICARE: JAMES CYRIAC, MD 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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1275420341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES CYRIAC, MD INC

Provider Business Mailing Address
First Line	:	15775 LAGUNA CANYON RD STE 190
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92618-7707
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15775 LAGUNA CANYON RD STE 190
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92618-7707
Country	:	US
Telephone Number	:	949-565-0774
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	JAMES CYRIAC
Credential	:	MD
Telephone Number	:	917-902-4658

Provider Enumeration Date	:	06/21/2025
Last Update Date	:	06/21/2025

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