Organization
NEWPORT EMERGENCY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND LOUIS RICCI MD (PRESIDENT)
(405) 751-4664
Entity
Organization
Contact information
Practice address
1 HOAG DR, ECU DEPT., NEWPORT BEACH, CA 92663-4162
(949) 764-5689
(405) 749-4561
Mailing address
PO BOX 720300, OKLAHOMA CITY, OK 73172-0300
(405) 751-4664
(405) 749-4561
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199402800
DEPT. OF LABOR
CA
05
—
GR0078110
—
CA
01
—
ZZZ535282
BLUE SHIELD
CA
Enumeration date
04/11/2006
Last updated
01/26/2024
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