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Organization
NEWPORT BEACH COMPREHENSIVE CARE MEDICAL GROUP, INC
Active
Organization
NEWPORT BEACH COMPREHENSIVE CARE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DANIEL FONDREN M.D. (CEO)
(949) 574-1091
Entity
Organization
Contact information
Practice address
355 PLACENTIA AVE, SUITE 102, NEWPORT BEACH, CA 92663-3311
(949) 574-1091
(949) 574-1097
Mailing address
3419 VIA LIDO, PMB 349, NEWPORT BEACH, CA 92663-3908
(949) 574-1091
(949) 574-1097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A60586
CA
Other
Enumeration date
09/15/2007
Last updated
12/06/2012
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