Organization
DEGUZMAN MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINO J DEGUZMAN M.D. (OWNER)
(949) 650-0506
Entity
Organization
Contact information
Practice address
1525 SUPERIOR AVE, SUITE 200, NEWPORT BEACH, CA 92663
(949) 650-0506
Mailing address
1525 SUPERIOR AVE, SUITE 200, NEWPORT BEACH, CA 92663
(949) 650-0506
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A046594
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0087281
—
CA
Enumeration date
07/05/2007
Last updated
05/02/2014
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