NPI | 1114338795 |
---|---|
Doing Business As | NEWPORT MEDICAL AND WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | JOHN F LALONDE Physician 949-631-9009 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000337) |
Enumeration Date | 2014-05-16 |
Last Update Date | 2014-05-16 |