Organization
NEWPORT CENTER MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MARK TILSEN M.D. (MANAGING PARTNER)
(949) 720-4920
Entity
Organization
Contact information
Practice address
400 NEWPORT CENTER DR, SUITE 504, NEWPORT BEACH, CA 92660-7601
(949) 720-4920
(949) 720-4928
Mailing address
400 NEWPORT CENTER DR, SUITE 504, NEWPORT BEACH, CA 92660-7601
(949) 720-4920
(949) 720-4928
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
07/15/2006
Last updated
08/25/2015
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