NEWPORT PAIN MANAGEMENT MEDICAL
Medical Practice at Avocado Ave, Newport Beach, CA

License number
California G71041
Category
Medical Practice
Type
Specialist
Owner
Name: HERBERT RAND SCOTT M.D.
Title: PRESIDENT
Phone: (949) 759-8400
Address
Address
1401 Avocado Ave, Newport Beach, CA 92660
National Provider ID: 1639242811
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NEWPORT PAIN MANAGEMENT, MEDICAL CORPORATION

1401 Avocado Ave SUITE 101, Newport Beach, CA 92660

Registration:
Aug 1, 1995
State ID:
C1923503
Business type:
Statement & Designation By Foreign Corporation
Entity State:
DE
President:
Herbert Rand Scott (President)

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