Organization
ASCENSION SPORTS MEDICINE, INC
Active
Other names
Ascension Family and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM PHILLIP SCHULTE D.O. (PHYSICIAN)
(714) 904-5687
Entity
Organization
Contact information
Practice address
400 NEWPORT CENTER DR, SUITE 204, NEWPORT BEACH, CA 92660-7601
(949) 706-0564
(949) 706-5836
Mailing address
400 NEWPORT CENTER DR, SUITE 204, NEWPORT BEACH, CA 92660-7601
(949) 706-0564
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20A14576
CA
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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