1497784193 NPI number — NEWPORT BEACH OB/GYN MEDICAL GROUP INC.

Table of content: MARK ALAN RITCHIE D.C. (NPI 1881889236)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497784193 NPI number — NEWPORT BEACH OB/GYN MEDICAL GROUP INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEWPORT BEACH OB/GYN MEDICAL GROUP INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1497784193
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/13/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
351 HOSPITAL RD
Provider Second Line Business Mailing Address:
SUITE 316
Provider Business Mailing Address City Name:
NEWPORT BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92663-3509
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-642-5775
Provider Business Mailing Address Fax Number:
949-642-2037

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
351 HOSPITAL RD
Provider Second Line Business Practice Location Address:
SUITE 316
Provider Business Practice Location Address City Name:
NEWPORT BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92663-3509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-642-5775
Provider Business Practice Location Address Fax Number:
949-642-2037
Provider Enumeration Date:
07/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RICCI
Authorized Official First Name:
STEPHANIE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
949-642-5775

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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