# NEWPORT EMERGENCY MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1922061779
- **Authorized official:** DR. RAYMOND LOUIS RICCI MD (PRESIDENT)
- **Authorized official phone:** (405) 751-4664

## Contact information

- **Practice address:** 1 HOAG DR, ECU DEPT., NEWPORT BEACH, CA 92663-4162
- **Practice address phone:** (949) 764-5689
- **Practice address fax:** (405) 749-4561
- **Mailing address:** PO BOX 720300, OKLAHOMA CITY, OK 73172-0300
- **Mailing address phone:** (405) 751-4664
- **Mailing address fax:** (405) 749-4561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 04/11/2006
- **Last updated:** 01/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 199402800 | DEPT. OF LABOR | CA |
| 05 | — | GR0078110 | — | CA |
| 01 | — | ZZZ535282 | BLUE SHIELD | CA |