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NPI Code Detail

MEDICARE: RIIID MEDICAL GROUP IRVINE INC

MEDICARE: RIIID MEDICAL GROUP IRVINE 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
1207R00000XInternal Medicine Physician
2207Q00000XFamily Medicine Physician
32084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1437770468
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIIID MEDICAL GROUP IRVINE INC
Provider Business Mailing Address
First Line : 16100 SAND CANYON AVE STE 240
Second Line :
City : IRVINE
State : CA
Zip : 92618-3724
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16100 SAND CANYON AVE STE 240
Second Line :
City : IRVINE
State : CA
Zip : 92618-3724
Country : US
Telephone Number : 949-393-7443
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : KARL K TOKITA
Credential :
Telephone Number : 949-677-5878
Provider Enumeration Date : 04/30/2020
Last Update Date : 01/30/2026

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Directions to “RIIID MEDICAL GROUP IRVINE INC ” Practice Location

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