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Organization
UC IRVINE HEALTH- NEWPORT DOCTORS MEDICAL GROUP- RADIOLOGY
Active
Organization
UC IRVINE HEALTH- NEWPORT DOCTORS MEDICAL GROUP- RADIOLOGY
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
DR. MANUEL PORTO M.D. (PRESIDENT)
(714) 456-2986
Entity
Organization
Contact information
Practice address
401 OLD NEWPORT BLVD, SUITE 201, NEWPORT BEACH, CA 92663-4291
(949) 999-2977
(949) 548-0391
Mailing address
PO BOX 513255, LOS ANGELES, CA 90051-3255
(714) 456-3851
(714) 456-6216
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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