Organization · Type 2 NPI

Mary J. Kotob, Md, Inc

Medical Specialty Clinic/Center · Newport Beach, CA

NPI number 1083400220 Active

Practice location

400 Newport Center Dr Ste 202
Newport Beach, CA 92660-7639

Call (949) 520-7774 Map

Fax (949) 520-7731

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1083400220

Mary J. Kotob, Md, Inc's National Provider Identifier is 1083400220, issued on Apr 15, 2025. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Newport Beach, CA. The record was last updated on Apr 15, 2025.