| Newport Beach Internal Medicine Inc | |
|
520 Superior Ave Ste 200 Newport Beach CA 92663-3642 | |
| (949) 642-0900 | |
| (949) 642-0022 |
| Full Name | Newport Beach Internal Medicine Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 Superior Ave Ste 200, Newport Beach, California |
| Authorized Official Name and Position | Wernher Ovalle (OWNER) |
| Authorized Official Contact | 9496420900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Beach Internal Medicine Inc Po Box 597 Suisun City CA 94585-0597 Ph: (657) 241-3600 | Newport Beach Internal Medicine Inc 520 Superior Ave Ste 200 Newport Beach CA 92663-3642 Ph: (949) 642-0900 |
| NPI Number | 1841495843 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 11/08/2023 |
| Medicare PECOS PAC ID | 9638268774 |
|---|---|
| Medicare Enrollment ID | O20071127000863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841495843 | NPI | - | NPPES |
| W21251 | Other | CA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A8407334 (California) | Primary |
| Provider Name | Wernher Ovalle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417901661 PECOS PAC ID: 1456440593 Enrollment ID: I20071127000867 |
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