Organization
PCH HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDIGO ALLENDORF (EXECUTIVE DIRECTOR)
(657) 422-7586
Entity
Organization
Contact information
Practice address
326 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4121
(949) 335-8802
Mailing address
326 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4121
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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