Doctor Name: | DR. SCOTT DOUGLASS EWING |
NPI Number: | 1407175243 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A83530 |
Business Practice Address: | 20001 Beach Blvd Huntington Beach, CA - 926483738 |
Business Phone Number: | 9499454255 |
Business Fax Number: | 7148491464 |
Mailing Address: | 7989 Osuna Cir, HUNTINGTON BEACH |
State: | CA |
Postal Code: | 926485739 |
Phone Number: | 9499454255 |
Fax Number: | 7148491464 |
NPI Enumeration Date: | 05/18/2010 |
NPI Last Update Date: | 05/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A83530 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |