OrganizationActive
Dr. Jeffry Persons
NPI 1699190710 · Point of Service · Tustin, CA
Provider details
- NPI number
- 1699190710
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Sue Wong, Manager(714) 544-6345
- License
- 24326 (CA)
Specialties & taxonomies
Managed Care Organizations
Practice location
1442 Irvine Blvd
225
Tustin, CA 92780-3801
Phone: (714) 544-6345
Approximate (ZIP-level) locationGet directions
Mailing address
1442 Irvine Blvd
Tustin, CA 92780-3801
Registry dates
- Enumerated
- 2014-02-26
- Last updated
- 2014-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.