Newport Beach Comprehensive Care Medical Group, INC
NPI #1033305834 in Newport Beach, California
Provider Information
- NPI Number
- 1033305834
- Entity Type
- Organization
- Organization Name
- Newport Beach Comprehensive Care Medical Group, INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 15, 2007
- Last Updated
- Dec 6, 2012
Practice Location
- Address
- 355 PLACENTIA AVE
- Address 2
- SUITE 102
- City
- Newport Beach
- State
- California
- ZIP Code
- 92663-3311
- Phone
- (949) 574-1091
Authorized Official
- Name
- DR. JAMES DANIEL FONDREN, M.D.
- Title
- CEO
- Phone
- (949) 574-1091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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