Organization
UC IRVINE HEALTH - NEWPORT DOCTORS MEDICAL GROUP- FACILITY
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
DR. MANUEL PORTO M.D. (PRESIDENT)
(714) 456-2986
Entity
Organization
Contact information
Practice address
401 OLD NEWPORT BLVD STE 201, NEWPORT BEACH, CA 92663-4289
(949) 999-2977
(949) 548-0394
Mailing address
PO BOX 31001-1363, PASADENA, CA 91110-1363
(714) 456-6324
(714) 456-6273
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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