# DEIRDRE A. HABERMEHL, MD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154590057
- **Authorized official:** MR. BRIAN DANIEL CHAVARIN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (949) 548-6376

## Contact information

- **Practice address:** 320 SUPERIOR AVE, SUITE 350, NEWPORT BEACH, CA 92663-2716
- **Practice address phone:** (949) 548-6376
- **Practice address fax:** (949) 548-6378
- **Mailing address:** 320 SUPERIOR AVE, SUITE 350, NEWPORT BEACH, CA 92663-2716
- **Mailing address phone:** (949) 548-6376
- **Mailing address fax:** (949) 548-6378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 02/25/2008