Individual
JADWIGA JULIA CLOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 610-7245
(657) 241-7720
Mailing address
PO BOX 3589, NEWPORT BEACH, CA 92659-8589
(657) 241-3600
(657) 241-7708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A99438
CA
208M00000X
Hospitalist Physician
Primary
A99438
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00780216
MEDICARE RAIL ROAD
CA
Enumeration date
12/28/2007
Last updated
05/26/2017
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