Newport Coast Dermatology

NPI 1063608107 - Dermatology - 207ND0101X

NPI Details
NPI 1063608107
Enumeration Date 09/21/2007
Last Updated 06/17/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GRACE GRACE
Position DR.
Phone (949) 863-0988
Fax (949) 863-0088
Practice Location
3991 MACARTHUR BLVD
SUITE 228
NEWPORT BEACH CA, 92660-3058, US
Phone (949) 863-0988
Fax (949) 863-0088
Business Location
3991 MACARTHUR BLVD
SUITE 228
NEWPORT BEACH CA, 92660-3058, US
Phone (949) 863-0988
Fax (949) 863-0088
Toxanomy
Taxonomy Code 207ND0101X
License State California
License Number A61446
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According to our database, Newport Coast Dermatology NPI is 1063608107, taxonomy code is 207ND0101X and license number is A61446, license state is located at California. Newport Coast Dermatology physically located at 3991 Macarthur Blvd, Newport Beach CA, 92660-3058. NPI Number 1033115704 has the healthcare provider type.

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1063608107 NPI number is provided on an as is basis without warranty of any kind. 1063608107 is maintained by the National Plan & Provider Enumeration System. The contents of Newport Coast Dermatology are for informational purposes only.