| Robert Kutzner Md | |
|
1000 Quail St Ste 160 Newport Beach CA 92660-2721 | |
| (877) 788-6342 | |
| (949) 274-8925 |
| Full Name | Robert Kutzner Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 Quail St Ste 160, Newport Beach, California |
| Authorized Official Name and Position | Robert Russell Kutzner (OWNER) |
| Authorized Official Contact | 7144866866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Kutzner Md 2549 Eastbluff Dr #744 Newport Beach CA 92660-3500 Ph: (714) 486-6866 | Robert Kutzner Md 1000 Quail St Ste 160 Newport Beach CA 92660-2721 Ph: (877) 788-6342 |
| NPI Number | 1518207596 |
|---|---|
| Provider Enumeration Date | 02/27/2013 |
| Last Update Date | 03/11/2023 |
| Certification Date | 03/11/2023 |
| Medicare PECOS PAC ID | 5991019325 |
|---|---|
| Medicare Enrollment ID | O20150729009950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518207596 | NPI | - | NPPES |
| Provider Name | Robert R Kutzner |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1225300635 PECOS PAC ID: 8224288204 Enrollment ID: I20121029000400 |
| Provider Name | Amylou G Harms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932571759 PECOS PAC ID: 6406192889 Enrollment ID: I20190104002406 |
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