Organization
PACIFIC INNOVATIVE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB P KUNES DO, MBS (CEO)
(630) 824-7801
Entity
Organization
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-4624
Mailing address
4048 E COLORADO ST, LONG BEACH, CA 90814-2819
(630) 824-7801
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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