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

Life Health Care Medical Group Inc

Organization Family Medicine Physician · NPI 1417685355

Life Health Care Medical Group Inc is a Family Medicine Physician in Santa Ana, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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

505 N Tustin Ave Ste 190
Santa Ana, CA 92705-3777
Phone: (714) 784-5433
Fax: (714) 784-5438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1417685355
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rafael Penunuri — Md · (714) 784-5433
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address505 N Tustin Ave Ste 190, Santa Ana, CA 92705-3777

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