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INTERNAL MEDICINE PHYSICIANS OF NEWPORT BEACH INC. NPI 1174709661


NPI Information

NPI: 1174709661
Provider Name: INTERNAL MEDICINE PHYSICIANS OF NEWPORT BEACH, INC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 05D0863905

Address:
12231 NEWPORT AVE
NORTH TUSTIN, CA
ZIP 92705
Phone: (949) 640-0635
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INTERNAL MEDICINE PHYSICIANS OF NEWPORT BEACH, INC. is a clinic center in North Tustin, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). INTERNAL MEDICINE PHYSICIANS OF NEWPORT BEACH, INC. NPI is 1174709661. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12231 NEWPORT AVE
NORTH TUSTIN, CA
ZIP 92705-205
Phone: (949) 640-0635
Fax: (714) 730-8250

The provider's authorized official is Erica Michaela Kuhn .
The authorized official title is President and has the following contact phone number (949) 640-0635.

The CLIA number assigned to this NPI record is 05D0863905 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/14/2008 and was last updated on 11/20/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2261Q00000XClinic/CenterYes

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: 5/5/2024

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