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1033305834
NEWPORT BEACH COMPREHENSIVE CARE MEDICAL GROUP, INC
NEWPORT BEACH, CA
NPI
1033305834
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Entity Type
Organization
Authorized Contact
JAMES DANIEL FONDREN
CEO
949-574-1091
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A60586)
Enumeration Date
2007-09-15
Last Update Date
2012-12-06
Business Address
NEWPORT BEACH COMPREHENSIVE CARE MEDICAL GROUP, INC
355 PLACENTIA AVE SUITE 102
NEWPORT BEACH, CA 92663-3311
Phone number: 949-574-1091
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Mailing Address
NEWPORT BEACH COMPREHENSIVE CARE MEDICAL GROUP, INC
3419 VIA LIDO PMB 349
NEWPORT BEACH, CA 92663-3908
Phone number: 949-574-1091
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