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NEWPORT BEACH COLORECTAL SURGERY MEDICAL GROUP INC NPI 1922134709


NPI Information

NPI: 1922134709
Provider Name: NEWPORT BEACH COLORECTAL SURGERY MEDICAL GROUP INC

Former Legal Business Name: KENNETH E AARON MD INC

Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
1401 AVOCADO AVE
STE 603
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 760-9431
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NEWPORT BEACH COLORECTAL SURGERY MEDICAL GROUP INC is a colon rectal surgery in Newport Beach, CA. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. NEWPORT BEACH COLORECTAL SURGERY MEDICAL GROUP INC NPI is 1922134709. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Kenneth E Aaron Md Inc.

The provider's business location address is:

1401 AVOCADO AVE
STE 603
NEWPORT BEACH, CA
ZIP 92660-720
Phone: (949) 760-9431
Fax: (949) 760-0722

The provider's authorized official is Daniel Allen Ng .
The authorized official title is President and has the following contact phone number (949) 760-9431.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 6/20/2012.


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
1208C00000XColon & Rectal SurgeryG70052CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ47611ZOTHERCALIFORNIABLUE SHIELD
2G04258MEDICARE UPINCALIFORNIA
3W13497MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
4WG70052AOTHERCALIFORNIAPIN
500G700520MEDICAIDCALIFORNIA

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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