-- NANCY J COUNCELBAUM -- MD
Individual Provider (NPI-1)
Active
Internal Medicine, Geriatric Medicine
Provider Information
- NPI Number
1275635013- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 16300 SAND CANYON AVE 311, IRVINE, CA, 926183711
- Phone
- (949) 753-7475
- Fax
- (949) 753-8797
Specialties & Taxonomies
Internal Medicine, Geriatric Medicine
Primary License: CA #G57005