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Organization

NEWPORT PAIN MANAGEMENT MEDICAL

Active
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Organization

NEWPORT PAIN MANAGEMENT MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HERBERT RAND SCOTT M.D. (PRESIDENT)
(949) 759-8400
Entity
Organization

Contact information

Practice address
1401 AVOCADO AVE, 101, NEWPORT BEACH, CA 92660-7720
(949) 759-8400
Mailing address
1401 AVOCADO AVE, 101, NEWPORT BEACH, CA 92660-7720
(949) 759-8400

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G71041
CA

Other

Enumeration date
11/16/2006
Last updated
07/23/2010
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