# AMY PATEL JAIN MD A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1417713579
- **Authorized official:** DR. AMY PATEL JAIN MD (OWNER)
- **Authorized official phone:** (714) 273-2362

## Contact information

- **Practice address:** 366 SAN MIGUEL DR STE 206, NEWPORT BEACH, CA 92660-7810
- **Practice address phone:** (949) 423-9723
- **Practice address fax:** (949) 335-6563
- **Mailing address:** 366 SAN MIGUEL DR STE 206, NEWPORT BEACH, CA 92660-7810
- **Mailing address phone:** (949) 423-9723
- **Mailing address fax:** (949) 335-6563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 02/26/2024