Organization · Type 2 NPI

Memorialcare Medical Foundation

Non-Pharmacy Dispensing Site · Newport Beach, CA

NPI number 1760135677 Active

Practice location

1441 Avocado Avenue, Suite 301
Newport Beach, CA 92660

Call (949) 272-2095 Map

Fax (949) 272-2096

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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NPI record

NPI: 1760135677
Entity type: Organization (Type 2)
Issued: Jan 31, 2022
Last updated: Jan 31, 2022
Status: Active
Subpart: Yes of Memorial Health Services, Inc.

Other names

Memorialcare Medical Group · doing business as

Authorized official

Tanya Dansky, MD
McMf-Senior Medical Director
(657) 241-3499

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760135677

Memorialcare Medical Foundation's National Provider Identifier is 1760135677, issued on Jan 31, 2022. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Newport Beach, CA. The record was last updated on Jan 31, 2022.