Organization
NEWPORT HARBOR CARDIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UTHARA RAJU MOHAN M.D (PRESIDENT/OWNER)
(949) 646-1495
Entity
Organization
Contact information
Practice address
601 DOVER DR STE 2, NEWPORT BEACH, CA 92663-5700
(949) 646-1495
Mailing address
601 DOVER DRIVE, SUITE 2, NEWPORT BEACH, CA 92663-5735
(949) 646-1495
(949) 646-2596
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A99639
CA
Other
Enumeration date
04/27/2011
Last updated
10/27/2011
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