Organization
NEWPORT NEUROLOGY
Active
Organization
NEWPORT NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WHEELER M.D. (PRESIDENT)
(949) 760-1640
Entity
Organization
Contact information
Practice address
360 SAN MIGUEL DR STE 503, NEWPORT BEACH, CA 92660-7831
(949) 760-1640
(949) 760-1610
Mailing address
1401 AVOCADO AVE, SUITE 805, NEWPORT BEACH, CA 92660-7720
(949) 760-1640
(949) 760-1610
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G793770
—
CA
Enumeration date
04/03/2007
Last updated
09/19/2024
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