Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Life Health Care Medical Group Inc

Organization Family Medicine Physician · NPI 1417685355

Life Health Care Medical Group Inc provides Family Medicine Physician services in Santa Ana, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

505 N Tustin Ave Ste 190
Santa Ana, CA 92705-3777
Phone: (714) 784-5433
Fax: (714) 784-5438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1417685355
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rafael Penunuri — Md · (714) 784-5433
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address505 N Tustin Ave Ste 190, Santa Ana, CA 92705-3777

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