Organization
MARK T KAN, INC
Active
Other names
NEWPORT FERTILITY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK T KAN M.D. (PRESIDENT)
(949) 222-1290
Entity
Organization
Contact information
Practice address
20072 SW BIRCH ST, SUITE 230, NEWPORT BEACH, CA 92660-0794
(949) 222-1290
(949) 222-1289
Mailing address
20072 SW BIRCH ST, SUITE 230, NEWPORT BEACH, CA 92660-0794
(949) 222-1290
(949) 222-1289
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
A82378
CA
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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