| NPI | 1972859486 |
|---|---|
| Doing Business As | DBA NEWPORT COSMETIC & MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | HUU N. PHAM Owner 949-955-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA G-51285) |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand (Licence: CA G-51285) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-09-07 |