Provider Demographics
NPI:1174709661
Name:INTERNAL MEDICINE PHYSICIANS OF NEWPORT BEACH, INC.
Entity type:Organization
Organization Name:INTERNAL MEDICINE PHYSICIANS OF NEWPORT BEACH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:MICHAELA
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:949-640-0635
Mailing Address - Street 1:PO BOX 1904
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-4904
Mailing Address - Country:US
Mailing Address - Phone:657-241-3600
Mailing Address - Fax:657-241-7708
Practice Address - Street 1:12231 NEWPORT AVE
Practice Address - Street 2:
Practice Address - City:NORTH TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92705-3205
Practice Address - Country:US
Practice Address - Phone:949-640-0635
Practice Address - Fax:714-730-8250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty