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1000 Quail St Ste 160 Newport Beach CA 92660-2721 | |
| (877) 788-6342 | |
| (949) 274-8925 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 Quail St Ste 160, Newport Beach, California |
| Authorized Official Name and Position | Robert Russell Kutzner (OWNER) |
| Authorized Official Contact | 9499031465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2549 Eastbluff Dr #744 Newport Beach CA 92660-3500 Ph: (949) 903-1465 | 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 | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Medicare PECOS PAC ID | 5991019325 |
|---|---|
| Medicare Enrollment ID | O20150729009950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518207596 | NPI | - | NPPES |
| Provider Name | Amylou G Harms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932571759 PECOS PAC ID: 6406192889 Enrollment ID: I20190104002406 |
| Provider Name | Francis Essien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801381736 PECOS PAC ID: 0244581874 Enrollment ID: I20220331000437 |
| Provider Name | Karen Francisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235915216 PECOS PAC ID: 7810434214 Enrollment ID: I20240802002273 |
| Provider Name | Cathleen Carmel Jacobson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922402700 PECOS PAC ID: 8729526405 Enrollment ID: I20240813000883 |
| Provider Name | Lorna Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669032918 PECOS PAC ID: 8820539505 Enrollment ID: I20240920003151 |
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