MEDICARE: NEW HEALTH INSTITUTE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	A062626	CA

General Provider Information

NPI Number	:	1538270418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HEALTH INSTITUTE INC

Provider Business Mailing Address
First Line	:	180 NEWPORT CENTER DR
Second Line	:	SUITE 120
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-6972
Country	:	US
Telephone Number	:	949-644-6969
Fax Number	:	949-644-6959

Provider Business Practice Location Address
First Line	:	180 NEWPORT CENTER DR
Second Line	:	SUITE 120
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-6972
Country	:	US
Telephone Number	:	949-644-6969
Fax Number	:	949-644-6959

Authorized Official
Title or Position	:	FOUNDER/DIRECTOR
Name	:	DR. SVETLANA R. STIVI
Credential	:	M.D
Telephone Number	:	949-644-6969

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/04/2011

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