| Tanya M. Phares, Do, Mph | |
|
369 San Miguel Dr Ste 200 Newport Beach CA 92660-7850 | |
| (949) 423-3530 | |
| Not Available |
| Full Name | Tanya M. Phares, Do, Mph |
|---|---|
| Speciality | Internal Medicine |
| Location | 369 San Miguel Dr Ste 200, Newport Beach, California |
| Authorized Official Name and Position | Tanya Phares (CEO/PHYSICIAN) |
| Authorized Official Contact | 9494233530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya M. Phares, Do, Mph 406 Orchid Ave, #1073 Corona Del Mar CA 92625 Ph: (949) 423-3530 | Tanya M. Phares, Do, Mph 369 San Miguel Dr Ste 200 Newport Beach CA 92660-7850 Ph: (949) 423-3530 |
| NPI Number | 1013516707 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 10/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013516707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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