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NEWPORT PHYSICAL MEDICINE AND REHABILITATION INC. NPI 1245775360


NPI Information

NPI: 1245775360
Provider Name: NEWPORT PHYSICAL MEDICINE AND REHABILITATION INC.

Doing Business As: BASIC PHYSICAL MEDICINE

Classification: Physical Medicine & Rehabilitation - 2081P0004X
Entity Type: Organization

Specialization: Spinal Cord Injury Medicine

CLIA Number: 05D2192672

Address:
17264 RED HILL AVE
IRVINE, CA
ZIP 92614
Phone: (949) 650-1228
Get Directions

NEWPORT PHYSICAL MEDICINE AND REHABILITATION INC. is a spinal cord injury medicine physical medicine rehabilitation in Irvine, CA. The provider is a physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. NEWPORT PHYSICAL MEDICINE AND REHABILITATION INC. NPI is 1245775360. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Basic Physical Medicine.

The provider's business location address is:

17264 RED HILL AVE
IRVINE, CA
ZIP 92614-628
Phone: (949) 650-1228

The provider's authorized official is Vinod Malhorta .
The authorized official title is President and has the following contact phone number (949) 650-1228.

The CLIA number assigned to this NPI record is 05D2192672 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2016 and was last updated on 1/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P0004XPhysical Medicine & RehabilitationSpinal Cord Injury MedicineA31505CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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