Organization
NEWPORT CARE MEDICAL GROUP INC
Active
Organization
NEWPORT CARE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KASRA ROWSHAN MD (MEDICAL DIRECTOR)
(979) 732-0303
Entity
Organization
Contact information
Practice address
3420 BRISTOL ST, SUITE 700, COSTA MESA, CA 92626-7170
(949) 722-1112
(949) 631-6356
Mailing address
3822 CAMPUS DR, SUITE 105, NEWPORT BEACH, CA 92660-2627
(949) 863-9870
(949) 863-9873
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
—
1223G0001X
General Practice Dentistry
—
—
207R00000X
Internal Medicine Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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