Basic Information
| Provider Information | |||||||||
| NPI: | 1891877015 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | APOSTOL | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | ALINGOD | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 26895 ALISO CREEK RD | ||||||||
| Address2: | SUITE B #465 | ||||||||
| City: | ALISO VIEJO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926565301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9497169460 | ||||||||
| FaxNumber: | 9497169460 | ||||||||
| Practice Location | |||||||||
| Address1: | 1401 AVOCADO AVE | ||||||||
| Address2: | SUITE #709 | ||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926607720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9497591720 | ||||||||
| FaxNumber: | 9497591442 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2006 | ||||||||
| LastUpdateDate: | 11/18/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | A63272 | CA | Y | Other Service Providers | Specialist |
No ID Information.