NEWPORT BEACH COMPREHENSIVE CARE MEDICAL GROUP, INC
Osteopathic Medicine at Placentia Ave, Newport Beach, CA

License number
California A60586
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. JAMES DANIEL FONDREN M.D.
Title: CEO
Phone: (949) 574-1091
Address
Address
355 Placentia Ave SUITE 102, Newport Beach, CA 92663
National Provider ID: 1033305834
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NEWPORT BEACH COMPREHENSIVE CARE MEDICAL GROUP, INC

Newport Beach, CA

Registration:
Feb 27, 2002
Addresses:
355 Placentia Ave STE 102, Newport Beach, CA 92663 (Physical)
307 Placentia Ave, Newport Beach, CA 92663
State ID:
C2276614
Business type:
Articles of Incorporation
President:
James D. Fondren (President)
Agent:
James D Fondren,Newport Beach, CA 92663 (Physical)

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