| Newport Medicine Group, Inc. | |
|
520 Superior Ave Suite 220 Newport Beach CA 92663-3637 | |
| (949) 642-2333 | |
| (949) 548-9456 |
| Full Name | Newport Medicine Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 Superior Ave, Newport Beach, California |
| Authorized Official Name and Position | Gregory J Katz (OWNER) |
| Authorized Official Contact | 9496422333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Medicine Group, Inc. Po Box 15745 Newport Beach CA 92659-5745 Ph: (657) 241-3600 | Newport Medicine Group, Inc. 520 Superior Ave Suite 220 Newport Beach CA 92663-3637 Ph: (949) 642-2333 |
| NPI Number | 1558581207 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 02/15/2019 |
| Medicare PECOS PAC ID | 2466545223 |
|---|---|
| Medicare Enrollment ID | O20070910000804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558581207 | NPI | - | NPPES |
| W21011 | Other | CA | MEDICARE |
| DN2085 | Other | CA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary C Carlson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497700116 PECOS PAC ID: 1355434119 Enrollment ID: I20070910000840 |
| Provider Name | Gregory J Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184674178 PECOS PAC ID: 9436242294 Enrollment ID: I20070910000853 |
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