| Harbor Pediatric Medical Group | |
|
601 Dover Dr Ste 7 Newport Beach CA 92663-5721 | |
| (949) 465-4670 | |
| (949) 722-6866 |
| Full Name | Harbor Pediatric Medical Group |
|---|---|
| Speciality | Pediatrics |
| Location | 601 Dover Dr Ste 7, Newport Beach, California |
| Authorized Official Name and Position | David Anthony Michelis (OWNER) |
| Authorized Official Contact | 9496454670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Pediatric Medical Group 601 Dover Dr Ste 7 Newport Beach CA 92663-5721 Ph: () - | Harbor Pediatric Medical Group 601 Dover Dr Ste 7 Newport Beach CA 92663-5721 Ph: (949) 465-4670 |
| NPI Number | 1922015072 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 01/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922015072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (California) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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