Organization · Type 2 NPI

Newport Personal Medicine, Inc.

Addiction Medicine (Family Medicine) Physician · Irvine, CA

NPI number 1336650068 Active

Practice location

22 Odyssey Ste 110
Irvine, CA 92618-3186

Fax (949) 706-9440

Mailing address

P.o. Box 11807
Newport Beach, CA 92658

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Addiction Medicine (Family Medicine) Physician Primary 207QA0401XNone listed
Adult Medicine Physician 207QA0505XNone listed
Geriatric Medicine (Family Medicine) Physician 207QG0300XNone listed
Sports Medicine (Family Medicine) Physician 207QS0010XNone listed

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

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About NPI 1336650068

Newport Personal Medicine, Inc.'s National Provider Identifier is 1336650068, issued on Oct 20, 2017. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Irvine, CA. The record was last updated on Jan 4, 2018.