Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovi Healthcare Inc

Organization Family Medicine Physician · NPI 1275153389

Innovi Healthcare Inc is a Family Medicine Physician in Tustin, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11220 Amberdale Dr
Tustin, CA 92782-4329
Phone: (949) 336-1875
Fax: (844) 946-0854
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1275153389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariam Hasan — Ceo · (949) 336-1875
Other names Innovi Medical Group
NPI enumeratedApril 18, 2020
Last updated in NPPESApril 18, 2020
Certification dateApril 18, 2020
Mailing address11220 Amberdale Dr, Tustin, CA 92782-4329

Other providers in Tustin