Newport Pain Management Medical Corporation
ActiveCalifornia license 23179
License
- Licensed by
- Medical Board of California
- License number
- 23179
- Status
- Active (Current)
- First issued
- September 19, 1995
- Expires
- September 30, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1401 Avocado Ave Ste 101
Newport Beach, CA 92660
Newport Beach, CA 92660
Orange County