Organization
HEALTH BRIDGE NEWPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA NICK CUSHMAN MD (OWNER)
(949) 715-9321
Entity
Organization
Contact information
Practice address
20072 SW BIRCH ST, SUITE 240, NEWPORT BEACH, CA 92660-0794
(949) 715-9321
(310) 300-0306
Mailing address
20072 SW BIRCH ST, SUITE 240, NEWPORT BEACH, CA 92660-0794
(949) 715-9321
(310) 300-0306
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
ND-145
CA
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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