Elizabeth Ann Grivett in Newport Beach - Medical

Elizabeth Ann Grivett - NPI 1295777068

Elizabeth Ann Grivett is a Medical in Newport Beach, California. Elizabeth Ann Grivett practices all healthcare services and medical treatments related to Medical. The NPI Number for Elizabeth Ann Grivett is 1295777068. The last update date is 2007-07-08.

Elizabeth Ann Grivett's current location address is 360 San Miguel Dr, Newport Beach, California. You can contact this provider via phone number 9496441025 and fax number 9497194930. The mailing address for Elizabeth Ann Grivett is 360 San Miguel Dr, Newport Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth Ann Grivett
Address 360 San Miguel Dr, Newport Beach, California
Phone Number 9496441025
Fax Number 9497194930
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1295777068
Provider Enumeration Date 2006-06-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 360 San Miguel Dr
City Newport Beach
State California (CA)
Post Code 926607853
Phone Number 9496441025
Fax Number 9497194930

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA13761
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
WPA13761C CA PERFORMING PHYSICIAN ID#

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FAQs about Elizabeth Ann Grivett

What is the unique 10-digit identification code assigned to Elizabeth Ann Grivett by the Centers for Medicare & Medicaid Services?

The Elizabeth Ann Grivett has been issued the NPI (National Provider Identifier) 1295777068, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Elizabeth Ann Grivett is located?

The Elizabeth Ann Grivett is situated at the following address: 360 San Miguel Dr, Newport Beach, CA, 926607853.

What is Elizabeth Ann Grivett's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Elizabeth Ann Grivett's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.

On what date did Elizabeth Ann Grivett receive its 1295777068 assignment from the Centers for Medicare & Medicaid Services?

The Elizabeth Ann Grivett was assigned its 1295777068 on 2006-06-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Elizabeth Ann Grivett, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Elizabeth Ann Grivett, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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