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Organization
SPN MEDICAL CONSULTING
Active
Organization
SPN MEDICAL CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN NIKRAVAN MD (PRESIDENT)
(949) 650-0616
Entity
Organization
Contact information
Practice address
520 SUPERIOR AVE, SUITE 350, NEWPORT BEACH, CA 92663-3637
(949) 650-0616
Mailing address
520 SUPERIOR AVE, SUITE 350, NEWPORT BEACH, CA 92663-3637
(949) 650-0616
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A80371
CA
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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