Newport Children'S Medical Group

LBN: Newport Children'S Medical Group
Newport Children'S Medical Group is an health care organization with primary practice located at 1401 Avocado Ave #802, Newport Beach CA 92660-7720. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Newport Children'S Medical Group can be contacted via phone (949) 644-0970, or through Gilliard, Deron via phone (949) 644-0970.

Contact Information

Primary practice address
1401 Avocado Ave #802 Newport Beach CA 92660-7720
Phone: (949) 644-0970
Fax: (949) 644-0774
Website:
Map and Directions
Authorized official contact:
Name: Gilliard, Deron CMPE
Phone: (949) 644-0970

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1356328330
LBN Legal business name Newport Children'S Medical Group
DBA Doing business as
Authorized official Gilliard, Deron CMPE
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2005
Last updated Oct 9th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356328330 NPPES
California MEDICAID GR0083892
California MEDICAID GR0083890

Popular Providers