Provider Demographics
NPI:1275269086
Name:ERIK KEREKES, M.D., INC.
Entity Type:Organization
Organization Name:ERIK KEREKES, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:
Authorized Official - Last Name:KEREKES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-321-4400
Mailing Address - Street 1:401 OLD NEWPORT BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-4276
Mailing Address - Country:US
Mailing Address - Phone:949-321-4400
Mailing Address - Fax:949-321-4463
Practice Address - Street 1:401 OLD NEWPORT BLVD STE 101
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4276
Practice Address - Country:US
Practice Address - Phone:949-321-4400
Practice Address - Fax:949-321-4463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty