GEORGE O. DETARNOWSKY, JR M.D., INC.
NPI 1912176728
Clinic/Center - Medical Specialty in Newport Beach, CA

Active since February 26, 2008
355 PLACENTIA AVE, SUITE 300, NEWPORT BEACH, CA 92663(949) 574-5026(949) 548-8893 Get Directions Write a Review

NPPES record last updated: October 21, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About George O. Detarnowsky, Jr M.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE O. DETARNOWSKY, JR M.D., INC. (NPI 1912176728) is a healthcare organization registered as a medical specialty in Newport Beach, California and active in the NPI registry since February 2008. The organization lists George Olivier Detarnowsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1912176728
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameGEORGE O. DETARNOWSKY, JR M.D., INC.
Location Address355 PLACENTIA AVE, SUITE 300Newport Beach, CA 92663-3311
Mailing Address355 Placentia Ave, Suite 300Newport Beach, CA 92663-3311 · (949) 574-5026 · Fax (949) 548-8893
Fax(949) 548-8893
Organization SubpartNo
Authorized OfficialGeorge Olivier DetarnowskyOwner · (949) 574-5026
Enumeration DateFebruary 26, 2008
Last NPPES UpdateOctober 21, 2008
NPI 1912176728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in CA · G41113
Definition

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).

Also ListedPreferred Provider OrganizationTaxonomy 305R00000X · License G41113 (CA)
355 PLACENTIA AVE, Newport Beach, CA 92663

Other Identifiers 1

Medicare UPINA0332CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
355 PLACENTIA AVE, STE 208
NEWPORT BEACH, CA 92663
Obstetrics & Gynecology
355 PLACENTIA AVE, SUITE 309
NEWPORT BEACH, CA 92663
Internal Medicine
355 PLACENTIA AVE, SUITE 201
NEWPORT BEACH, CA 92663
Internal Medicine (Cardiovascular Disease)
355 PLACENTIA AVE, SUITE 100
NEWPORT BEACH, CA 92663
Family Medicine
355 PLACENTIA AVE, SUITE 103
NEWPORT BEACH, CA 92663
Surgery (Plastic and Reconstructive Surgery)
355 PLACENTIA AVE, SUITES 99 AND 104
NEWPORT BEACH, CA 92663
Dentist (Endodontics)
355 PLACENTIA AVE, #304
NEWPORT BEACH, CA 92663
Physical Medicine & Rehabilitation
355 PLACENTIA AVE, SUITE #307
NEWPORT BEACH, CA 92663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George O. Detarnowsky, Jr M.D., Inc.'s NPI number?

The NPI number for George O. Detarnowsky, Jr M.D., Inc. is 1912176728. It was assigned to this organization in the NPPES registry on February 26, 2008.

Where is George O. Detarnowsky, Jr M.D., Inc. located?

George O. Detarnowsky, Jr M.D., Inc. is located at 355 Placentia Ave Suite 300, Newport Beach, CA 92663. The listed phone number is (949) 574-5026.

What is George O. Detarnowsky, Jr M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for George O. Detarnowsky, Jr M.D., Inc. was last updated on October 21, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.