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Organization

NEWPORT BEACH COLORECTAL SURGERY MEDICAL GROUP INC

Active
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Organization

NEWPORT BEACH COLORECTAL SURGERY MEDICAL GROUP INC

Active
Other names
KENNETH E AARON MD INC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL ALLEN NG MD (PRESIDENT)
(949) 760-9431
Entity
Organization

Contact information

Practice address
1401 AVOCADO AVE, STE 603, NEWPORT BEACH, CA 92660-7720
(949) 760-9431
(949) 760-0722
Mailing address
1401 AVOCADO AVE, STE 603, NEWPORT BEACH, CA 92660-7720
(949) 760-9431
(949) 760-0722

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
G70052
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G700520
CA
01
WG70052A
PIN
CA
01
ZZZ47611Z
BLUE SHIELD
CA
Enumeration date
02/26/2007
Last updated
06/20/2012
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