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Organization
NEWPORT EMERGENCY MEDICAL GROUP INC
Active
Organization
NEWPORT EMERGENCY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND LOUIS RICCI MD (PRESIDENT)
(405) 751-4664
Entity
Organization
Contact information
Practice address
1 HOAG DR, ECU DEPT., NEWPORT BEACH, CA 92663-4162
(949) 764-5689
(405) 749-4561
Mailing address
PO BOX 720300, OKLAHOMA CITY, OK 73172-0300
(405) 751-4664
(405) 749-4561
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199402800
DEPT. OF LABOR
CA
05
—
GR0078110
—
CA
01
—
ZZZ535282
BLUE SHIELD
CA
Enumeration date
04/11/2006
Last updated
01/26/2024
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