GEORGE O. DETARNOWSKY, JR M.D., INC.
Clinic/Center - Medical Specialty
Active
Organization
NPI: 1912176728
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Preferred Provider Organization | 305R00000X | No | G41113 (CA) |
| Clinic/Center - Medical Specialty | 261QM2500X | Yes | G41113 (CA) |
Frequently Asked Questions
NPI 1912176728 is the National Provider Identifier for GEORGE O. DETARNOWSKY, JR M.D., INC., a Clinic/Center - Medical Specialty provider located in Newport Beach, CA. This NPI was enumerated on February 26, 2008.
Quick Facts
- NPI
- 1912176728
- Type
- Organization
- Enumerated
- Feb 26, 2008
- Last Updated
- Oct 21, 2008
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