Organization Name: | R.C. AGNEW, M.D., OB GYN MEDICAL CORPORATION |
NPI Number: | 1255411781 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD COURTNEY AGNEW (PHYSICIAN) |
Mailing Address: | 351 Hospital Rd Suite 306 Newport Beach |
State: | CA US |
Postal Code: | 926633509 |
Phone Number: | 9496503777 |
Fax Number: | 9496500126 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 04/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | C28577 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |