Organization
MEMORIALCARE MEDICAL FOUNDATION
Active
Parent organization
MEMORIAL HEALTH SERVICES, INC.
Other names
MemorialCare Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HEALTH SERVICES, INC.
Authorized official
TANYA DANSKY M.D. (MCMF-SENIOR MEDICAL DIRECTOR)
(657) 241-3499
Entity
Organization
Contact information
Practice address
1441 AVOCADO AVENUE, SUITE 301, NEWPORT BEACH, CA 92660
(949) 272-2095
(949) 272-2096
Mailing address
1441 AVOCADO AVENUE, SUITE 301, NEWPORT BEACH, CA 92660
(949) 272-2095
(949) 272-2096
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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