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Organization
NEWPORT DOCTORS MEDICAL GROUP INC
Active
Organization
NEWPORT DOCTORS MEDICAL GROUP INC
Active
Other names
Newport Doctors Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A GEHRET M.D. (PRESIDENT)
(949) 999-2977
Entity
Organization
Contact information
Practice address
401 OLD NEWPORT BLVD, STE 201, NEWPORT BEACH, CA 92663-4289
(949) 999-2950
(949) 999-2960
Mailing address
401 OLD NEWPORT BLVD, STE 201, NEWPORT BEACH, CA 92663-4289
(949) 999-2950
(949) 999-2960
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A33589
CA
174400000X
Specialist
G23417
CA
174400000X
Specialist
G39611
CA
174400000X
Specialist
G48231
CA
Other
Enumeration date
07/14/2006
Last updated
04/19/2012
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