MEDICARE: KELLY KATHLYN MCCANN M.D.

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
1	207R00000X	Internal Medicine Physician	M9492	ID
2	208000000X	Pediatrics Physician	30799	AZ

General Provider Information

NPI Number	:	1336155381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY KATHLYN MCCANN M.D.

Provider Business Mailing Address
First Line	:	351 OLD NEWPORT BLVD # 218
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-4120
Country	:	US
Telephone Number	:	949-574-5800
Fax Number	:	949-612-2725

Provider Business Practice Location Address
First Line	:	1831 ORANGE AVE STE C
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92627-2839
Country	:	US
Telephone Number	:	949-574-5800
Fax Number	:	949-612-2725

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	11/30/2010

Similar Medicare Providers

1225255391 — DR. KOREN LYNN BARRETT ND
Practice Location Address:

1831 ORANGE AVE , SUITE B
COSTA MESA, CA
92627-2839

Practice Phone: 949-642-4324
Practice Fax: 949-548-8233

1750567244 — KELLY K MCCANN MD INC
Practice Location Address:

1831 ORANGE AVE STE C
COSTA MESA, CA
92627-2839

Practice Phone: 949-574-5800
Practice Fax: 949-612-2725

1336319839 — MRS. DEANNE ELISE NEWTON MSPAS, PA-C, CN
Practice Location Address:

1831 ORANGE AVE STE C
COSTA MESA, CA
92627-2839

Practice Phone: 949-574-5800
Practice Fax:

1316274566 — DR. DHURGA SYAMALA REDDY N.D.
Practice Location Address:

1831 ORANGE AVE STE A
COSTA MESA, CA
92627-2839

Practice Phone: 949-574-4978
Practice Fax: 949-574-9854

1063735017 — CYNTHIA PRESTON N.D.
Practice Location Address:

1831 ORANGE AVE STE A
COSTA MESA, CA
92627-2839

Practice Phone: 949-574-4978
Practice Fax:

1689991903 — DR. PEGGY DELONG BRANSON N.D.
Practice Location Address:

1831 ORANGE AVE STE A
COSTA MESA, CA
92627-2839

Practice Phone: 949-743-5770
Practice Fax: 949-574-9854

Directions to “ KELLY KATHLYN MCCANN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.