Organization
BRIDGE TO HEALTH LLC
Active
Other names
HealthBridge Newport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA NICK (MEMBER)
(949) 842-0641
Entity
Organization
Contact information
Practice address
20271 SW BIRCH ST STE 100, NEWPORT BEACH, CA 92660-1714
(949) 715-9321
(310) 300-0306
Mailing address
PO BOX 12131, NEWPORT BEACH, CA 92658-5053
(949) 842-0641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ND-145
CA
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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