Organization
LORI J IZABAL M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY E HILL (PRACTICE MANAGER)
(949) 640-4455
Entity
Organization
Contact information
Practice address
360 SAN MIGUEL DR, SUITE 206, NEWPORT BEACH, CA 92660-7853
(949) 640-4455
(949) 640-4456
Mailing address
360 SAN MIGUEL DR, SUITE 206, NEWPORT BEACH, CA 92660-7853
(949) 640-4455
(949) 640-4456
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A061528
CA
Other
Enumeration date
07/27/2006
Last updated
04/05/2022
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