Individual
DR. EMMANUEL JUSTICE ADDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20301 SW BIRCH ST STE 102, NEWPORT BEACH, CA 92660-1754
(949) 251-1502
(714) 647-1245
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A83783
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A837830
—
CA
Enumeration date
01/27/2006
Last updated
11/11/2015
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