Organization
PHYSICIAN ASSOCIATES MEDICAL GROUP INC
Active
Other names
GENESIS MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PRIYA JALOTA (ADMIN)
(949) 813-4996
Entity
Organization
Contact information
Practice address
1101 DOVE ST STE 120, NEWPORT BEACH, CA 92660-2819
(949) 813-4996
(949) 666-6636
Mailing address
1101 DOVE ST STE 120, NEWPORT BEACH, CA 92660-2819
(949) 813-4996
(949) 666-6636
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
02/06/2026
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