# SPN MEDICAL CONSULTING

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

## Provider details

- **NPI number:** 1376960443
- **Authorized official:** DR. SEAN NIKRAVAN MD (PRESIDENT)
- **Authorized official phone:** (949) 650-0616

## Contact information

- **Practice address:** 520 SUPERIOR AVE, SUITE 350, NEWPORT BEACH, CA 92663-3637
- **Practice address phone:** (949) 650-0616
- **Mailing address:** 520 SUPERIOR AVE, SUITE 350, NEWPORT BEACH, CA 92663-3637
- **Mailing address phone:** (949) 650-0616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A80371 | CA | Yes |

## Other

- **Enumeration date:** 03/26/2014
- **Last updated:** 03/26/2014