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PCH HEALTHCARE NPI 1205507415


NPI Information

NPI: 1205507415
Provider Name: PCH HEALTHCARE
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
326 OLD NEWPORT BLVD
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 335-8802
Get Directions

PCH HEALTHCARE is an addiction medicine internal medicine in Newport Beach, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. PCH HEALTHCARE NPI is 1205507415. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

326 OLD NEWPORT BLVD
NEWPORT BEACH, CA
ZIP 92663-121
Phone: (949) 335-8802

The provider's authorized official is Indigo Allendorf .
The authorized official title is Executive Director and has the following contact phone number (657) 422-7586.

The enumeration date for this NPI number is 9/27/2021 and was last updated on 9/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0401XInternal MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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