Organization
ATS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY DEWAN (CEO)
(949) 833-8101
Entity
Organization
Contact information
Practice address
20271 SW BIRCH ST STE 201, NEWPORT BEACH, CA 92660-1752
(949) 833-8100
Mailing address
20271 SW BIRCH ST STE 200, NEWPORT BEACH, CA 92660-1752
(949) 833-8100
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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