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George O. Detarnowsky, Jr M.d., Inc.
Preferred Provider Organization in Newport Beach, California
NPI 1912176728

George O. Detarnowsky, Jr M.d., Inc. is a Preferred Provider Organization based in Newport Beach, CA. George O. Detarnowsky, Jr M.d., Inc. practices in Newport Beach, CA. The NPI Number for George O. Detarnowsky, Jr M.d., Inc. is 1912176728 and holds a License No. G41113 (California).

The current practice location address for George O. Detarnowsky, Jr M.d., Inc. is 355 Placentia Ave, Newport Beach, CA and can be reached out via phone at 949-574-5026 and via fax at 949-548-8893.

Location: 355 Placentia Ave, Newport Beach, CA, 92663-3311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912176728
Provider Name
George O. Detarnowsky, Jr M.d., Inc.
Credential
Provider Entity Type
Organization
Address
355 Placentia Ave, Newport Beach, CA, 92663-3311
Phone Number
949-574-5026
Fax Number
949-548-8893
Provider Enumeration Date
02/26/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
355 Placentia Ave
City
Newport Beach
State
California
Zip
92663-3311
Phone Number
949-574-5026
Fax Number
949-548-8893
person
Provider Business Mailing Address Details
Address
355 Placentia Ave
City
Newport Beach
State
California
Zip
92663-3311
Phone Number
949-574-5026
Fax Number
949-548-8893
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
G41113 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
G41113 (California)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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