Basic Information
| Provider Information | |||||||||
| NPI: | 1245662055 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | IYER | ||||||||
| FirstName: | PRIYANKA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.B.B.S, M.P.H | ||||||||
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| Mailing Information | |||||||||
| Address1: | 333 CITY BLVD W STE 400 | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928682994 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7144565668 | ||||||||
| FaxNumber: | 7144568895 | ||||||||
| Practice Location | |||||||||
| Address1: | UC IRVINE MEDICAL CENTER | ||||||||
| Address2: | 101 THE CITY DR S | ||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92868 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3192562413 | ||||||||
| FaxNumber: | 3193568280 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/02/2013 | ||||||||
| LastUpdateDate: | 03/26/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/26/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | A162351 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.