Organization
AMY VANBLARICOM, MD AFC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY VANBLARICOM MD (PHYSICIAN)
(949) 706-0181
Entity
Organization
Contact information
Practice address
180 NEWPORT CENTER DR, 265, NEWPORT BEACH, CA 92660-6972
(949) 706-0181
Mailing address
180 NEWPORT CENTER DR, 265, NEWPORT BEACH, CA 92660-6972
(949) 706-0181
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
C52798
CA
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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