| Ppma | |
|
520 Superior Ave Suite 285 Newport Beach CA 92663-3637 | |
| (949) 566-8179 | |
| (888) 565-6545 |
| Full Name | Ppma |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 Superior Ave, Newport Beach, California |
| Authorized Official Name and Position | Lawrence R Van Meter (OWNER) |
| Authorized Official Contact | 9495668179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ppma 520 Superior Ave Suite 285 Newport Beach CA 92663-3637 Ph: (949) 566-8179 | Ppma 520 Superior Ave Suite 285 Newport Beach CA 92663-3637 Ph: (949) 566-8179 |
| NPI Number | 1760562771 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 06/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760562771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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