Provider Demographics
NPI:1962102814
Name:CUNEYT TEGIN, MD INC.
Entity type:Organization
Organization Name:CUNEYT TEGIN, MD INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CUNEYT
Authorized Official - Middle Name:
Authorized Official - Last Name:TEGIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-665-9136
Mailing Address - Street 1:15615 ALTON PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-7305
Mailing Address - Country:US
Mailing Address - Phone:949-665-3196
Mailing Address - Fax:949-398-9858
Practice Address - Street 1:15615 ALTON PKWY STE 220
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-7305
Practice Address - Country:US
Practice Address - Phone:949-665-3196
Practice Address - Fax:949-398-9858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty