Health and Skin Fusion, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A78014 Issued in CA

Legal business name

HEALTH AND SKIN FUSION, INC

Practice address

363 San Miguel Dr
Suite 260
Newport Beach, CA 92660-7892

Phone

(949) 522-1131

Fax

(855) 812-2139

NPI assigned

May 29, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryan C Doonan, M.D.

Title

Medical Director

Phone

(949) 552-1131

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1649617804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 SAN MIGUEL DR",
            "address_2": "SUITE 260",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607892",
            "telephone_number": "949-522-1131",
            "fax_number": "855-812-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 SAN MIGUEL DR",
            "address_2": "SUITE 260",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607892",
            "telephone_number": "949-522-1131",
            "fax_number": "855-812-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND SKIN FUSION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "DOONAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-552-1131",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A78014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.