Ccrm Newport Beach
Ccrm Newport Beach is a Reproductive Endocrinology Physician in Newport Beach, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
3501 Jamboree Rd Ste 450Newport Beach, CA 92660-2916
Phone: (949) 531-6331
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Specialties & licences
| Reproductive Endocrinology Physician (primary) | Taxonomy 207VE0102X |
|---|
Record details
| NPI number | 1053018267 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matt Tyson — Director, Managed Care Contracting · (615) 477-6677 |
| NPI enumerated | February 8, 2023 |
| Last updated in NPPES | July 15, 2026 |
| Certification date | July 15, 2026 |
| Mailing address | 3501 Jamboree Rd Ste 1100, Newport Beach, CA 92660-2956 |
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