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MICHAEL J. HATTAN DPM A PROFESSIONAL PODIATRIC MEDICAL CORPORATION NPI 1669660668


NPI Information

NPI: 1669660668
Provider Name: MICHAEL J. HATTAN DPM, A PROFESSIONAL PODIATRIC MEDICAL CORPORATION

Doing Business As: NEWPORT FAMILY PODIATRY

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
355 PLACENTIA AVE
SUITE 101
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 650-1900
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MICHAEL J. HATTAN DPM, A PROFESSIONAL PODIATRIC MEDICAL CORPORATION is a foot and ankle surgery podiatrist in Newport Beach, CA. MICHAEL J. HATTAN DPM, A PROFESSIONAL PODIATRIC MEDICAL CORPORATION NPI is 1669660668. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Newport Family Podiatry.

The provider's business location address is:

355 PLACENTIA AVE
SUITE 101
NEWPORT BEACH, CA
ZIP 92663-311
Phone: (949) 650-1900
Fax: (949) 650-1902

The provider's authorized official is Michael John Hattan .
The authorized official title is President/owner and has the following contact phone number (949) 677-2921.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 6/14/2016.


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
1213ES0103XPodiatristFoot & Ankle SurgeryE4733CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16207730001MEDICARE NSCCALIFORNIA
2BK002MEDICARE PINCALIFORNIA

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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