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

Mary J. Kotob, MD, Inc

Organization Medical Specialty Clinic/Center · NPI 1083400220

Mary J. Kotob, MD, Inc is a Medical Specialty Clinic/Center in Newport Beach, California. Registered with an NPI since 2025.

In the registry since
2025
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

400 Newport Center Dr Ste 202
Newport Beach, CA 92660-7639
Phone: (949) 520-7774
Fax: (949) 520-7731
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1083400220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Kotob — Owner · (714) 357-3202
Other names Dr Mary J Kotob
NPI enumeratedApril 15, 2025
Last updated in NPPESApril 15, 2025
Certification dateApril 7, 2025
Mailing address400 Newport Center Dr Ste 202, Newport Beach, CA 92660-7639

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