# NEWPORT BEACH PEDIATRIC PULMONOLOGY, INC.

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

## Provider details

- **NPI number:** 1861032179
- **Authorized official:** DR. AMY NEVIN HARRISON MD (PRESIDENT)
- **Authorized official phone:** (949) 220-0510

## Contact information

- **Practice address:** 369 SAN MIGUEL DR STE 375, NEWPORT BEACH, CA 92660-7847
- **Practice address phone:** (949) 220-0510
- **Practice address fax:** (949) 220-0509
- **Mailing address:** 369 SAN MIGUEL DR STE 375, NEWPORT BEACH, CA 92660-7847
- **Mailing address phone:** (949) 220-0510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0214X | Pediatric Pulmonology Physician | — | NULL | Yes |
| 2080P0214X | Pediatric Pulmonology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2020
- **Last updated:** 02/06/2024