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PACIFIC OBSTETRICS & GYNECOLOGY NPI 1346641735


NPI Information

NPI: 1346641735
Provider Name: PACIFIC OBSTETRICS & GYNECOLOGY
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2091086

Address:
496 OLD NEWPORT BLVD STE 4
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 548-6800
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PACIFIC OBSTETRICS & GYNECOLOGY is a specialist in Newport Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PACIFIC OBSTETRICS & GYNECOLOGY NPI is 1346641735. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

496 OLD NEWPORT BLVD STE 4
NEWPORT BEACH, CA
ZIP 92663-264
Phone: (949) 548-6800
Fax: (949) 548-6801

The provider's authorized official is Christina J Lee .
The authorized official title is President and has the following contact phone number (949) 548-6800.

The CLIA number assigned to this NPI record is 05D2091086 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2014 and was last updated on 9/4/2014.


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
1174400000XSpecialistA68416CALIFORNIAYes

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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