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Dr. Jacques Kpodonu, MD
Specialist in Newport Beach, California
NPI 1134152267

Jacques Kpodonu is a Specialist based in Newport Beach, CA. Jacques Kpodonu practices in Newport Beach, CA and has the professional credentials of MD. The NPI Number for Jacques Kpodonu is 1134152267 and holds a License No. A72779 (California).

The current practice location address for Jacques Kpodonu is 447 Old Newport Blvd. #200, Newport Beach, CA and can be reached out via phone at 949-650-3350 and via fax at 949-650-1274.

Location: 447 Old Newport Blvd. #200, Newport Beach, CA, 92663-4257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134152267
Provider Name
Jacques Kpodonu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
447 Old Newport Blvd. #200, Newport Beach, CA, 92663-4257
Phone Number
949-650-3350
Fax Number
949-650-1274
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A72779 01 CA LICENSE
P00333876 01 AZ RAILROAD MEDICARE AHI
WCSKQ 01 AZ SUN HEALTH GROUP # AHI
141743 05 AZ
1750339479 01 CA GROUP NPI
institution
Provider Business Practice Location Address Details
Address
447 Old Newport Blvd. #200
City
Newport Beach
State
California
Zip
92663-4257
Phone Number
949-650-3350
Fax Number
949-650-1274
person
Provider Business Mailing Address Details
Address
447 Old Newport Blvd. #200
City
Newport Beach
State
California
Zip
92663-4257
Phone Number
949-650-3350
Fax Number
949-650-1274
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A72779 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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