Organization
MARY J. KOTOB, MD, INC
Active
Other names
Dr Mary J Kotob
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY J KOTOB MD (OWNER)
(714) 357-3202
Entity
Organization
Contact information
Practice address
400 NEWPORT CENTER DR STE 202, NEWPORT BEACH, CA 92660-7639
(949) 520-7774
(949) 520-7731
Mailing address
400 NEWPORT CENTER DR STE 202, NEWPORT BEACH, CA 92660-7639
(949) 520-7774
(949) 520-7731
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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