Organization
PACIFIC WOMEN'S HEALTHCARE ASSOCIAES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NINO PHAM (EXECUTIVE DIRECTOR)
(949) 760-9316
Entity
Organization
Contact information
Practice address
500 SUPERIOR AVE, SUITE 310, NEWPORT BEACH, CA 92663-3657
(949) 650-7100
Mailing address
500 SUPERIOR AVE, SUITE 310, NEWPORT BEACH, CA 92663-3657
(949) 650-7100
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
383408
CA
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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