Organization
NEWPORT CARE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KASRA ROWSHAN MD (MEDICAL DIRECTOR)
(949) 732-0303
Entity
Organization
Contact information
Practice address
2617 E CHAPMAN AVE, SUITE 201, ORANGE, CA 92869-3226
(949) 732-0303
(949) 398-5281
Mailing address
3822 CAMPUS DR, SUITE 105, NEWPORT BEACH, CA 92660-2627
(949) 863-9870
(949) 863-9873
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
—
1223G0001X
General Practice Dentistry
—
—
207R00000X
Internal Medicine Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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