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NPI Code Detail

MEDICARE: NEWPORT NEUROLOGY

MEDICARE: NEWPORT NEUROLOGY
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
12084N0400XNeurology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912028176
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEWPORT NEUROLOGY
Provider Business Mailing Address
First Line : 1401 AVOCADO AVE
Second Line : SUITE 805
City : NEWPORT BEACH
State : CA
Zip : 92660-7720
Country : US
Telephone Number : 949-760-1640
Fax Number : 949-760-1610
Provider Business Practice Location Address
First Line : 360 SAN MIGUEL DR STE 503
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-7831
Country : US
Telephone Number : 949-760-1640
Fax Number : 949-760-1610
Authorized Official
Title or Position : PRESIDENT
Name : STEVEN WHEELER
Credential : M.D.
Telephone Number : 949-760-1640
Provider Enumeration Date : 04/03/2007
Last Update Date : 09/19/2024

Similar Medicare Providers

1346282720 — KATHLEEN MARIE LAUGHLIN M.D
Practice Location Address:
360 SAN MIGUEL DR STE 501
NEWPORT BEACH, CA
92660-7831
Practice Phone: 949-644-1025
Practice Fax: 949-644-7072
1225180615 — STEVEN W. WHEELER M.D.
Practice Location Address:
360 SAN MIGUEL DR STE 503
NEWPORT BEACH, CA
92660-7831
Practice Phone: 949-760-1640
Practice Fax: 949-760-1610
1093097818 — DR. LEELA ATHALYE D.O.
Practice Location Address:
360 SAN MIGUEL DR STE 501
NEWPORT BEACH, CA
92660-7831
Practice Phone: 949-720-1170
Practice Fax:
1972940187 — JOYCE T YUAN M.D.
Practice Location Address:
360 SAN MIGUEL DR STE 501
NEWPORT BEACH, CA
92660-7831
Practice Phone: 949-720-1170
Practice Fax: 949-720-1172
1275944654 — MIA GATTI
Practice Location Address:
360 SAN MIGUEL DR STE 501
NEWPORT BEACH, CA
92660-7831
Practice Phone: 949-720-1170
Practice Fax: 949-720-1172
1730538216 — RITA BALYAN
Practice Location Address:
360 SAN MIGUEL DR STE 501
NEWPORT BEACH, CA
92660-7831
Practice Phone: 949-720-1170
Practice Fax:

Directions to “NEWPORT NEUROLOGY ” Practice Location

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