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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GEORGE O. DETARNOWSKY, JR M.D., INC.

Active Organization

GEORGE O. DETARNOWSKY, JR M.D., INC. is a Medical Specialty Clinic organization located in NEWPORT BEACH, California. NPI 1912176728 is currently active in the NPPES registry. Verify at CMS.

Medical Specialty Clinic · NEWPORT BEACH, CA

Registration Details

NPI Number
1912176728
Provider Type
Organization
NPI Issued
Feb 26, 2008 (18.485904187297 yrs)
Last Updated
Oct 21, 2008
Licenses
G41113 (CA)
G41113 (CA)

Practice Information

Address
355 PLACENTIA AVE
SUITE 300
NEWPORT BEACH, CA, 926633311
Browse CA providers · Browse ZIP 92663
Phone
9495745026
Fax
9495488893
Primary Specialty
Medical Specialty Clinic
261QM2500X
Additional Specialty
Medical Specialty Clinic

Other Medical Specialty Clinic Organizations in NEWPORT BEACH, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.