Organization
NEWPORT PULMONARY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS RONALD NOVAK MD (PARTNER)
(949) 642-6200
Entity
Organization
Contact information
Practice address
320 SUPERIOR AVE, SUITE 200, NEWPORT BEACH, CA 92663-2741
(949) 642-6200
(949) 642-9359
Mailing address
320 SUPERIOR AVE, SUITE 200, NEWPORT BEACH, CA 92663-2741
(949) 642-6200
(949) 642-9359
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0017190
—
CA
Enumeration date
08/07/2006
Last updated
08/22/2020
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