CANYON PACIFIC OB GYN – NPI #1134246317
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

CANYON PACIFIC OB GYN is a provider located in IRVINE, CA. NPPES has assigned the NPI number 1134246317 to CANYON PACIFIC OB GYN on March 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VX0000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Obstetrics

The NPI profile was previously updated about 16 years ago on Apr 22, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANYON PACIFIC OB GYN below.

NPI Profile for
CANYON PACIFIC OB GYN

NPI Number
1134246317
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CANYON PACIFIC OB GYN
Primary location
16300 SAND CANYON AVE
805
IRVINE, CA 92618-3711
Phone: (949) 753-0601 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRUCE HAGADORN
OWNER
Phone: (949) 753-0601
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0000X
- Obstetrics & Gynecology / Obstetrics (Primary)		 CA G71549

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.