| Health Bridge Newport | |
|
20072 Sw Birch St Suite 240 Newport Beach CA 92660-0794 | |
| (949) 715-9321 | |
| (310) 300-0306 |
| Full Name | Health Bridge Newport |
|---|---|
| Speciality | Psychoanalyst |
| Location | 20072 Sw Birch St, Newport Beach, California |
| Authorized Official Name and Position | Gina Nick Cushman (OWNER) |
| Authorized Official Contact | 9497159321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Bridge Newport 20072 Sw Birch St Suite 240 Newport Beach CA 92660-0794 Ph: (949) 715-9321 | Health Bridge Newport 20072 Sw Birch St Suite 240 Newport Beach CA 92660-0794 Ph: (949) 715-9321 |
| NPI Number | 1699137737 |
|---|---|
| Provider Enumeration Date | 03/28/2016 |
| Last Update Date | 03/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699137737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102L00000X | Psychoanalyst | ND-145 (California) | Primary |
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