# NEWPORT MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316407885
- **Authorized official:** EDWARD KURTZ (CEO)
- **Authorized official phone:** (714) 222-4600

## Contact information

- **Practice address:** 129 CABRILLO ST STE 103, COSTA MESA, CA 92627-3037
- **Practice address phone:** (714) 641-1760
- **Mailing address:** 2015 AMBIE WAY, FAIRVIEW, TN 37062-5006
- **Mailing address phone:** (714) 222-4600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2019
- **Last updated:** 05/16/2022