GEORGE O. DETARNOWSKY, JR M.D., INC.
Managed Care Organizations at Placentia Ave, Newport Beach, CA

License number
California G41113
Category
Ambulatory Health
Type
Medical Specialty
License number
California G41113
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: MR. GEORGE OLIVIER DETARNOWSKY JR. M.D.
Title: OWNER
Phone: (949) 574-5026
Address
Address
355 Placentia Ave SUITE 300, Newport Beach, CA 92663
National Provider ID: 1912176728
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GEORGE O. DETARNOWSKY, JR., M.D., INC

355 Placentia Ave STE 300, Newport Beach, CA 92663

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
George O Detarnowsky Jr MD Inc<br>George O Detarnowsky Jr Inc
Registration:
Feb 20, 2008
Phone:
(949) 574-5026 (Phone)
State ID:
C3077027
Business type:
Articles of Incorporation
Presidents:
George O. Detarnowsky (Partner, Owner),Holli S. Eliason Office Manager, Manager, inactive,George O. Detamowsky President, inactive
Agent:
Coe,Orange, CA 92867 (Physical)
Categories:
Gastroenterology Physicians & Surgeons, Physicians & Surgeons
Products:
Board Certified in Gastroenterology
Additional:
Gastroenterology Associates

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