Newport Medical Care

NPI 1427218288 - Family Medicine - 207Q00000X

NPI Details
NPI 1427218288
Enumeration Date 06/13/2008
Last Updated 06/13/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JERRY JERRY
Position PHYSICIAN/CEO
Phone (714) 544-6050
Fax
Practice Location
13420 NEWPORT AVE
SUITE D
TUSTIN CA, 92780-3745, US
Phone (714) 544-6050
Fax
Business Location
13420 NEWPORT AVE
SUITE D
TUSTIN CA, 92780-3745, US
Phone (714) 544-6050
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A93587
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According to our database, Newport Medical Care NPI is 1427218288, taxonomy code is 207Q00000X and license number is A93587, license state is located at California. Newport Medical Care physically located at 13420 Newport Ave, Tustin CA, 92780-3745. NPI Number 1033115704 has the healthcare provider type.

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1427218288 NPI number is provided on an as is basis without warranty of any kind. 1427218288 is maintained by the National Plan & Provider Enumeration System. The contents of Newport Medical Care are for informational purposes only.