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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