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450 Newport Center Dr Suite 380 Newport Beach CA 92660-7610 | |
| (949) 891-0307 | |
| (800) 217-8204 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 450 Newport Center Dr, Newport Beach, California |
| Authorized Official Name and Position | Matthew N Koury (OWNER) |
| Authorized Official Contact | 9498910307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
450 Newport Center Dr Suite 380 Newport Beach CA 92660-7610 Ph: (949) 891-0307 | 450 Newport Center Dr Suite 380 Newport Beach CA 92660-7610 Ph: (949) 891-0307 |
| NPI Number | 1154864205 |
|---|---|
| Provider Enumeration Date | 11/22/2016 |
| Last Update Date | 11/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154864205 | NPI | - | NPPES |
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