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SOUTHERN CALIFORNIA CENTER FOR SEXUAL HEALTH AND SURVIVORSHIP MED NPI 1821294794


NPI Information

NPI: 1821294794
Provider Name: SOUTHERN CALIFORNIA CENTER FOR SEXUAL HEALTH AND SURVIVORSHIP MED
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
355 PLACENTIA AVE
SUITE 202
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 764-9300
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SOUTHERN CALIFORNIA CENTER FOR SEXUAL HEALTH AND SURVIVORSHIP MED is a gynecology obstetrics gynecology in Newport Beach, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee SOUTHERN CALIFORNIA CENTER FOR SEXUAL HEALTH AND SURVIVORSHIP MED NPI is 1821294794. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

355 PLACENTIA AVE
SUITE 202
NEWPORT BEACH, CA
ZIP 92663-311
Phone: (949) 764-9300
Fax: (949) 764-9399

The provider's authorized official is Michael Krychman .
The authorized official title is President and has the following contact phone number (917) 902-5851.

The enumeration date for this NPI number is 6/26/2007 and was last updated on 9/15/2008.


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
1207VG0400XObstetrics & GynecologyGynecologyA54134CALIFORNIAYes

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
1W22166MEDICARE 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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