Organization
NEWPORT HARBOR PATHOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD D EPSTEIN MD (PRESIDENT)
(949) 764-5635
Entity
Organization
Contact information
Practice address
2901 W COAST HWY STE 200, NEWPORT BEACH, CA 92663-4045
(949) 891-1297
(949) 258-4354
Mailing address
2901 W COAST HWY STE 200, NEWPORT BEACH, CA 92663-4045
(949) 891-1297
(949) 258-4354
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
FNP 23213
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0076400
—
CA
01
—
ZZZ51273Z
BLUE SHIELD
CA
Enumeration date
06/22/2006
Last updated
09/14/2022
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