Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

George O. Detarnowsky, Jr MD, Inc

Organization Medical Specialty Clinic/Center · NPI 1912176728

George O. Detarnowsky, Jr MD, Inc is a Medical Specialty Clinic/Center in Newport Beach, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

355 Placentia Ave Ste 300
Newport Beach, CA 92663-3311
Phone: (949) 574-5026
Fax: (949) 548-8893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence G41113 (CA)
Preferred Provider Organization Taxonomy 305R00000X · Licence G41113 (CA)

Record details

NPI number1912176728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Detarnowsky — Owner · (949) 574-5026
NPI enumeratedFebruary 26, 2008
Last updated in NPPESOctober 21, 2008
Mailing address355 Placentia Ave, Suite 300, Newport Beach, CA 92663-3311

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