Healthcare Provider Details

I. General information

NPI: 1295268530
Provider Name (Legal Business Name): KENNA BROOKE SCHNARR DO, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 HOSPITAL RD STE 316
NEWPORT BEACH CA
92663-3505
US

IV. Provider business mailing address

351 HOSPITAL RD STE 316
NEWPORT BEACH CA
92663-3505
US

V. Phone/Fax

Practice location:
  • Phone: 949-642-5775
  • Fax:
Mailing address:
  • Phone: 949-642-5775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberCA17325
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberCA17325
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: