Organization
NEWPORT NEUROHOSPITALIST MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BROWN (PRESIDENT)
(949) 764-1454
Entity
Organization
Contact information
Practice address
19191 HARVARD AVE, IRVINE, CA 92612-4670
(877) 969-7376
Mailing address
PO BOX 15847, NEWPORT BEACH, CA 92659-5847
(949) 574-4638
(949) 574-4680
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
06000055
CA
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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