Organization
SOUTHERN CALIFORNIA CENTER FOR SEXUAL HEALTH AND SURVIVORSHIP MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KRYCHMAN MD (PRESIDENT)
(917) 902-5851
Entity
Organization
Contact information
Practice address
355 PLACENTIA AVE, SUITE 202, NEWPORT BEACH, CA 92663-3311
(949) 764-9300
(949) 764-9399
Mailing address
PO BOX 2718, NEWPORT BEACH, CA 92659-1318
(949) 764-9300
(949) 764-9399
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A54134
CA
Other
Enumeration date
06/26/2007
Last updated
09/15/2008
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