Organization Name: | DEWING MEDICINE INC |
NPI Number: | 1215180088 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANNE HUYNH DEWING (PRESIDENT) |
Mailing Address: | 31852 Coast Hwy Suite 301 Laguna Beach |
State: | CA US |
Postal Code: | 926516764 |
Phone Number: | 9493405454 |
Fax Number: | 9493405454 |
NPI Enumeration Date: | 10/24/2008 |
NPI Last Update Date: | 10/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | C52349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |