George O. Detarnowsky, Jr M.D., Inc.

LBN: George O. Detarnowsky, Jr M.D., Inc.
George O. Detarnowsky, Jr M.D., Inc. is an health care organization with primary practice located at 355 Placentia Ave Suite 300, Newport Beach CA 92663-3311. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Managed Care Organizations / Preferred Provider Organization. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty. George O. Detarnowsky, Jr M.D., Inc. can be contacted via phone (949) 574-5026, or through Detarnowsky, George Olivier via phone (949) 574-5026.

Contact Information

Primary practice address
355 Placentia Ave Suite 300 Newport Beach CA 92663-3311
Phone: (949) 574-5026
Fax: (949) 548-8893
Website:
Map and Directions
Authorized official contact:
Name: Detarnowsky, George Olivier Doctor of Medicine (MD)
Phone: (949) 574-5026

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X G41113 California
Managed Care Organizations / Preferred Provider Organization 305R00000X G41113 California

Profile Details

NPI number 1912176728
LBN Legal business name George O. Detarnowsky, Jr M.D., Inc.
DBA Doing business as
Authorized official Detarnowsky, George Olivier Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2008
Last updated Oct 21st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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