Provider Demographics
NPI:1962986281
Name:SYMMETRY MEDICAL INFUSIONS PC
Entity type:Organization
Organization Name:SYMMETRY MEDICAL INFUSIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIREC
Authorized Official - Prefix:DR
Authorized Official - First Name:JANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-274-9536
Mailing Address - Street 1:3943 IRVINE BLVD STE 628
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-2400
Mailing Address - Country:US
Mailing Address - Phone:310-740-7864
Mailing Address - Fax:
Practice Address - Street 1:17822 BEACH BLVD STE 473
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647
Practice Address - Country:US
Practice Address - Phone:714-274-9536
Practice Address - Fax:714-333-4486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-21
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy