NEWPORT HEART MEDICAL GROUP INC NPI 1811986268

NPI Information

NEWPORT HEART MEDICAL GROUP INC is a specialist in Newport Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEWPORT HEART MEDICAL GROUP INC NPI is 1811986268. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

415 OLD NEWPORT BLVD
# 200
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 548-9611
Fax: (949) 548-9958

The provider's authorized official is Susan Foster .
The authorized official title is Business Manager and has the following contact phone number (949) 548-9611.

The CLIA number assigned to this NPI record is 05D0966997 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2005 and was last updated on 3/7/2023.

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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