| Eleanor Kelly, Md, Inc | |
|
1 Hoag Dr Newport Beach CA 92663-4162 | |
| (949) 735-0174 | |
| (949) 854-7143 |
| Full Name | Eleanor Kelly, Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Hoag Dr, Newport Beach, California |
| Authorized Official Name and Position | Eleanor Marie Kelly (DIRECTOR) |
| Authorized Official Contact | 9497350174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor Kelly, Md, Inc 5100 Birch St 2nd Floor Newport Beach CA 92660-2160 Ph: (949) 735-0174 | Eleanor Kelly, Md, Inc 1 Hoag Dr Newport Beach CA 92663-4162 Ph: (949) 735-0174 |
| NPI Number | 1114069549 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 12/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114069549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A064544 (California) | Primary |
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