NEWPORT CHILDREN'S MEDICAL GROUP

NEWPORT BEACH, CA
NPI1356328330
Entity TypeOrganization
Authorized ContactDERON GILLIARD
Health Administrator
949-644-0970
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2005-12-29
Last Update Date2007-10-09
Business Address
NEWPORT CHILDREN'S MEDICAL GROUP
1401 AVOCADO AVE #802
NEWPORT BEACH, CA 92660-7720
Phone number: 949-644-0970
Mailing Address
NEWPORT CHILDREN'S MEDICAL GROUP
1401 AVOCADO AVE #802
NEWPORT BEACH, CA 92660-7720
Phone number: 949-644-0970
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