Mcdonough, David A

Mcdonough, David A is an sole proprietor health care provider with primary practice located at 12721 Newport Ave Ste 3 , Tustin CA 92780-8031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mcdonough, David A can be contacted via phone (310) 288-5933.

Contact Information

Primary practice address
12721 Newport Ave Ste 3 Tustin CA 92780-8031
Phone: (310) 288-5933
Fax: (866) 683-4556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G73043 California

Profile Details

NPI number 1295866341
LBN Legal business name Mcdonough, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Apr 11th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295866341 NPPES
California Other WG73043N MEDICARE ID-UNSPEC
California MEDICAID 3045033 MEDICARE ID-UNSPEC

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