Newport Specialist INC

NPI #1336659127 in Newport Beach, California

Provider Information

NPI Number
1336659127
Entity Type
Organization
Organization Name
Newport Specialist INC
Primary Specialty
Family Medicine - Addiction Medicine
Enumeration Date
Oct 5, 2017
Last Updated
Oct 5, 2017

Practice Location

Address
1419 SUPERIOR AVE STE 1
ZIP Code
92663-2723
Phone
(949) 650-0587

Authorized Official

Name
SYLVIA NUTTALL
Title
PRACTICE MANAGER
Phone
(949) 650-0587

Specialties & Taxonomy Codes

Specialty
Family Medicine - Addiction MedicineAddiction Medicine

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