NEWPORT PERSONAL MEDICINE INC. NPI 1336650068

NPI Information

NEWPORT PERSONAL MEDICINE, INC. is an addiction medicine family medicine in Irvine, CA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. NEWPORT PERSONAL MEDICINE, INC. NPI is 1336650068. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22 ODYSSEY STE 110
IRVINE, CA
ZIP 92618-186
Phone: (949) 500-5662
Fax: (949) 706-9440

The provider's authorized official is Robert Stephen Jennings .
The authorized official title is President and has the following contact phone number (949) 500-5662.

The CLIA number assigned to this NPI record is 05D2167276 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2017 and was last updated on 1/4/2018.

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:

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