Healthcare Provider Details

I. General information

NPI: 1760184642
Provider Name (Legal Business Name): EMILY JEAN NAPOLITANO BOONE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 09/06/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOAG DR
NEWPORT BEACH CA
92663-4162
US

IV. Provider business mailing address

PO BOX 94
CORONA DEL MAR CA
92625-0094
US

V. Phone/Fax

Practice location:
  • Phone: 949-873-6181
  • Fax: 949-873-0418
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA196837
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA196837
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: