# E. TRACY M.D. A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1578421046
- **Authorized official:** ELIZABETH TRACY MD (PRESIDENT, OWNER)
- **Authorized official phone:** (714) 740-7597

## Contact information

- **Practice address:** 19671 BEACH BLVD STE 201, HUNTINGTON BEACH, CA 92648-5903
- **Practice address phone:** (714) 740-7597
- **Practice address fax:** (714) 740-7672
- **Mailing address:** 19671 BEACH BLVD STE 201, HUNTINGTON BEACH, CA 92648-5903
- **Mailing address phone:** (714) 740-7597
- **Mailing address fax:** (714) 740-7672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VG0400X | Gynecology Physician | — | NULL | Yes |
| 207VG0400X | Gynecology Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2026
- **Last updated:** 05/01/2026