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NPI Code Detail

MEDICARE: DR. TRACY A PANTIG MD

MEDICARE: DR. TRACY A PANTIG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA146503CA

General Provider Information

NPI Number : 1326466285
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRACY A PANTIG MD
Provider Business Mailing Address
First Line : 4699 JAMBOREE RD
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2526
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4699 JAMBOREE RD
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2526
Country : US
Telephone Number : 949-557-0951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2014
Last Update Date : 02/27/2026

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Directions to “ DR. TRACY A PANTIG MD” Practice Location

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