Organization
EMMANUEL JUSTICE ADDO MD INC
Active
Organization
EMMANUEL JUSTICE ADDO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL JUSTICE ADDO M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
20301 SW BIRCH ST STE 102, NEWPORT BEACH, CA 92660-1754
(949) 251-1502
(714) 647-1245
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A83783
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A837830
—
CA
Enumeration date
07/28/2006
Last updated
11/11/2015
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