MEDICARE: ORANGE COUNTY HEART & VASCULAR 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	207RI0011X	Interventional Cardiology Physician	A84090	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366941395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORANGE COUNTY HEART & VASCULAR INC

Provider Business Mailing Address
First Line	:	PO BOX 50966
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92619-0966
Country	:	US
Telephone Number	:	714-617-5163
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 BRYAN AVE STE E
Second Line	:
City	:	TUSTIN
State	:	CA
Zip	:	92780-4401
Country	:	US
Telephone Number	:	714-617-5163
Fax Number	:	714-617-5786

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DINESH KUMAR
Credential	:	MD
Telephone Number	:	949-246-5739

Provider Enumeration Date	:	02/05/2018
Last Update Date	:	04/28/2026

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