FELICE L. GERSH, M.D., INC. (NPI# 1821121328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821121328 |
| Entity Type | Organization |
| Organization Name | FELICE L. GERSH, M.D., INC. |
| Other Organization Name | INTEGRATIVE MEDICAL GROUP OF IRVINE |
| Practice Address |
4968 Booth Cir 101 Irvine CA 92604-3360 |
| Practice Telephone | 9497537475 |
| Practice Fax Number | 9497538797 |
| Mailing Telephone | 9497537475 |
| Mailing Fax Number | 9497538797 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2014-04-28 |
| Authorized Official Name | DR. FELICE L. GERSH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9497537475 |
| Authorized Official Credential | MEDICAL DOCTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Integrative Medical Group of Irvine | Doing Business As Name - Organization |
| Street Address |
4968 BOOTH CIR 101 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-3360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477004919 | Ariana Poulakos | Naturopath | 4968 Booth Cir, Suite 101, Irvine, CA 92604-3360 | 2016-10-19 |
| 1982082020 | Orange County Plastic Surgery Center, LLC | Clinic/Center | 4968 Booth Cir, Suite 103, Irvine, CA 92604-3360 | 2015-05-08 |
| 1578829024 | Mindy Michele Finfrock | Pediatrics | 4968 Booth Cir, Irvine, CA 92604-3360 | 2012-04-10 |
| 1730445313 | Song Plastic Surgery, Inc. | Surgery | 4968 Booth Cir, Suite 105, Irvine, CA 92604-3360 | 2012-04-08 |
| 1366620007 | Kyle Robert Song | Plastic Surgery | 4968 Booth Cir, Suite 105, Irvine, CA 92604-3360 | 2008-02-05 |
| 1922206135 | Jiyeon Kim | Pediatrics | 4968 Booth Cir, Suite 106, Irvine, CA 92604-3360 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1790186815 | Chapman University | Clinic/Center | 9401 Jeronimo Rd, Suite 100, Rm #207, Irvine, CA 92618-1908 | 2014-09-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.