05D1047067 CLIA NUMBER - LORI J IZABAL MD

Laboratory Demographics

CLIA Number: 05D1047067

Facility Name: LORI J IZABAL MD

Facility Address:
360 SAN MIGUEL DRIVE, SUITE #206
NEWPORT BEACH, CA
ZIP 92660
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Facility Phone Number: (949) 640-4455

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1114992328

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D1047067
LAB Type	PHYSICIAN OFFICE
Facility Name	LORI J IZABAL MD
Street	360 SAN MIGUEL DRIVE, SUITE #206
City	NEWPORT BEACH
State	CA
ZIP	92660
Phone	(949) 640-4455

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This page was last updated on: 5/11/2023