Organization
DEBORAH C, HENRY, M.D., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH CHRISTINE HENRY M.D. (PRESIDENT)
(626) 390-3125
Entity
Organization
Contact information
Practice address
11 BALBOA CV, NEWPORT BEACH, CA 92663-3226
(626) 390-3125
(949) 645-8788
Mailing address
PO BOX 3545, NEWPORT BEACH, CA 92659-8545
(626) 390-3125
(949) 645-8788
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A53188
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A531880
—
CA
Enumeration date
05/15/2007
Last updated
08/22/2020
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