Organization
KATHLEEN P HUTTON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN P HUTTON MD (PRESIDENT OWNER)
(949) 644-8556
Entity
Organization
Contact information
Practice address
1441 AVOCADO AVE, SUITE 309, NEWPORT BEACH, CA 92660
(949) 644-8556
(949) 644-6318
Mailing address
1441 AVOCADO AVE, SUITE 309, NEWPORT BEACH, CA 92660
(949) 644-8556
(949) 644-6318
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ564182
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
10/05/2006
Last updated
11/16/2010
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