# NEWPORT CARE MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1528401783
- **Authorized official:** KASRA ROWSHAN M.D. (SPINE SURGEON, OWNER)
- **Authorized official phone:** (949) 491-9991

## Contact information

- **Practice address:** 441 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4233
- **Practice address phone:** (949) 491-9991
- **Practice address fax:** (949) 612-9795
- **Mailing address:** 441 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4233
- **Mailing address phone:** (949) 491-9991
- **Mailing address fax:** (949) 612-9795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | A92732 | CA | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | A97592 | CA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | A106704 | CA | — |
| 225100000X | Physical Therapist | — | CA | — |

## Other

- **Enumeration date:** 04/08/2013
- **Last updated:** 11/06/2024