Organization
J DEAN MOLLNER MD INC
Active
Organization
J DEAN MOLLNER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DEAN MOLLNER MD (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Mailing address
3419 VIA LIDO # 218, NEWPORT BEACH, CA 92663-3908
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G27238
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366625360
—
CA
Enumeration date
10/26/2009
Last updated
10/26/2009
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