Provider First Line Business Practice Location Address:
22 CORPORATE PLAZA, SUITE 113
Provider Second Line Business Practice Location Address:
NEWPORT ORTHOPEDIC INSTITUTE
Provider Business Practice Location Address City Name:
NEWPORT BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-722-5054
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/13/2017