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1601 Avocado Ave Newport Beach CA 92660-7798 | |
| (949) 763-2204 | |
| (949) 536-8036 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 1601 Avocado Ave, Newport Beach, California |
| Authorized Official Name and Position | Vincent Jensen (AO) |
| Authorized Official Contact | 6262180308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 512185 Los Angeles CA 90051-0185 Ph: () - | 1601 Avocado Ave Newport Beach CA 92660-7798 Ph: (949) 763-2204 |
| NPI Number | 1558930859 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558930859 | NPI | - | NPPES |
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