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Organization
NEWPORT HARBOR ANESTHESIA CONSULTANTS MEDICAL GROUP INC
Active
Organization
NEWPORT HARBOR ANESTHESIA CONSULTANTS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DALE CULLY MD (PRESIDENT)
(949) 764-6954
Entity
Organization
Contact information
Practice address
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY, NEWPORT BEACH, CA 92663-4162
(949) 764-6954
(949) 764-5674
Mailing address
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY, NEWPORT BEACH, CA 92663-4162
(949) 764-6954
(949) 764-5674
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0084230
—
CA
Enumeration date
05/08/2006
Last updated
01/17/2020
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