Dewing Medicine Inc | |
31862 Coast Hwy Ste 200 Laguna Beach CA 92651-6771 | |
(949) 340-5454 | |
(949) 340-5454 |
Full Name | Dewing Medicine Inc |
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Speciality | Clinic/Center |
Location | 31862 Coast Hwy Ste 200, Laguna Beach, California |
Authorized Official Name and Position | Janne Huynh Dewing (PRESIDENT) |
Authorized Official Contact | 9493405454 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dewing Medicine Inc 31862 Coast Hwy Ste 200 Laguna Beach CA 92651-6771 Ph: (949) 340-5454 | Dewing Medicine Inc 31862 Coast Hwy Ste 200 Laguna Beach CA 92651-6771 Ph: (949) 340-5454 |
NPI Number | 1215180088 |
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Provider Enumeration Date | 10/24/2008 |
Last Update Date | 01/05/2024 |
Medicare PECOS PAC ID | 8921156928 |
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Medicare Enrollment ID | O20090430000546 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215180088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | C52349 (California) | Primary |
Provider Name | Janne Dewing |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699973297 PECOS PAC ID: 3476601477 Enrollment ID: I20090430000542 |
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