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NPI Profile for MEMORY AND MOVEMENT CLINIC in NEWPORT BEACH, CA.
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Clinical Neuropsychologist |
103G00000X | |||
Dermatology |
207N00000X | 07 | Physician/Dermatology | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Geriatric Medicine |
207RG0300X | 11 | Physician/Internal Medicine | |
Geriatric Psychiatry |
2084P0805X | 86 | Physician/Neuropsychiatry | |
Geriatrics |
2251G0304X | 65 | Physical Therapist in Private Practice | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Hospice and Palliative Medicine |
207RH0002X | 11 | Physician/Internal Medicine | |
Hospice and Palliative Medicine |
207QH0002X | 08 | Physician/Family Practice | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Surgery of the Hand |
2086S0105X | 02 | Physician/General Surgery |
| NPI # | 1447139175 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/27/2025 | |
| Last updated | 09/09/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MEMORY AND MOVEMENT CLINIC
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MEMORY AND MOVEMENT CLINIC