Swan Healthcare Incorporated
Family Medicine in Newport Beach, CA. Organization (NPI-2).
NPI number1881990752
StatusActive
Last updated in NPPESFeb 9, 2011
Details
- NPI
- 1881990752
- Entity type
- Organization (NPI-2)
- Legal business name
- Swan Healthcare Incorporated
- Organization subpart
- No
- Enumeration date
- Feb 9, 2011
- Last updated
- Feb 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A088378 | CA | Yes |
Practice location
320 Superior AveSuite 110
Newport Beach, CA 92663-2716
Phone 949-910-1004 · Fax 949-644-6022
Mailing address
2618 San Miguel DrSuite 800
Newport Beach, CA 92660-5437
Phone 949-910-1004 · Fax 949-644-6022
Authorized official
Brian Swan
President
9499101004
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