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Organization
NEWPORT BEACH PEDIATRIC PULMONOLOGY, INC.
Active
Organization
NEWPORT BEACH PEDIATRIC PULMONOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY NEVIN HARRISON MD (PRESIDENT)
(949) 220-0510
Entity
Organization
Contact information
Practice address
369 SAN MIGUEL DR STE 375, NEWPORT BEACH, CA 92660-7847
(949) 220-0510
(949) 220-0509
Mailing address
369 SAN MIGUEL DR STE 375, NEWPORT BEACH, CA 92660-7847
(949) 220-0510
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
NULL
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
02/06/2024
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