Organization
NEWPORT SUPERIOR MEDICAL & INFUSION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER STOUT (DIRECTOR OF INTAKE)
(949) 601-6001
Entity
Organization
Contact information
Practice address
1501 SUPERIOR AVE STE 202, NEWPORT BEACH, CA 92663-3640
(949) 484-4100
(866) 542-8631
Mailing address
1501 SUPERIOR AVE STE 202, NEWPORT BEACH, CA 92663-3640
(949) 484-4100
(866) 542-8631
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
TAXONOMY
CA
Enumeration date
10/02/2020
Last updated
07/05/2023
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