Progeny Psychiatric Clinic a Medical Corporation
Progeny Psychiatric Clinic a Medical Corporation is a Family Medicine Physician in Irvine, California. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
17782 Cowan Ste AIrvine, CA 92614-6041
Phone: (949) 722-7118
Fax: (949) 396-0965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
| Neurology Physician | Taxonomy 2084N0400X |
Record details
| NPI number | 1548735202 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Kellogg — Ceo · (949) 722-7118 |
| NPI enumerated | October 9, 2018 |
| Last updated in NPPES | August 8, 2019 |
| Mailing address | 17782 Cowan Ste A, Irvine, CA 92614-6041 |
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