| NPI | 1326365339 |
|---|---|
| Doing Business As | NEWPORT PERSONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | R STEPHEN JENNINGS President 949-706-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A35456) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A35456) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |