Organization
NORTHWEST NEWBORN SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANETTE SANDERS (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization
Contact information
Practice address
770 THE CITY DR S, SUITE 4000, ORANGE, CA 92868-4900
(800) 463-6628
(714) 740-0326
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(954) 851-1948
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048003000
BCBS
OR
05
—
148502
—
OR
05
—
7005937
—
WA
Enumeration date
06/23/2005
Last updated
10/23/2024
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