| Beach Family Doctors | |
|
366 San Miguel Dr Ste 200 Newport Beach CA 92660-7810 | |
| (949) 642-0900 | |
| (949) 642-0022 |
| Full Name | Beach Family Doctors |
|---|---|
| Speciality | Clinic/Center |
| Location | 366 San Miguel Dr Ste 200, Newport Beach, California |
| Authorized Official Name and Position | Julia Harris (PHYSICIAN) |
| Authorized Official Contact | 7148455900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Family Doctors Po Box 15775 Newport Beach CA 92659-5775 Ph: (657) 241-3600 | Beach Family Doctors 366 San Miguel Dr Ste 200 Newport Beach CA 92660-7810 Ph: (949) 642-0900 |
| NPI Number | 1841495843 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 09/19/2024 |
| Medicare PECOS PAC ID | 9638268774 |
|---|---|
| Medicare Enrollment ID | O20071127000863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841495843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
| Provider Name | Wernher Ovalle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417901661 PECOS PAC ID: 1456440593 Enrollment ID: I20071127000867 |
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