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Organization
NEWPORT MESA MEDICAL GROUP, INC
Active
Organization
NEWPORT MESA MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL A KHAN M.D. (OWNER PHYSICIAN)
(949) 574-3615
Entity
Organization
Contact information
Practice address
275 VICTORIA ST, STE 1E, COSTA MESA, CA 92627-1906
(949) 574-3615
Mailing address
275 VICTORIA ST, STE 1E, COSTA MESA, CA 92627-1906
(949) 574-3615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
10/19/2010
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