Provider Demographics
NPI:1740676493
Name:SKIN CANCER RX-NEWPORT, INC.
Entity type:Organization
Organization Name:SKIN CANCER RX-NEWPORT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-706-2887
Mailing Address - Street 1:369 SAN MIGUEL DR
Mailing Address - Street 2:SUITE 235
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7818
Mailing Address - Country:US
Mailing Address - Phone:949-706-2887
Mailing Address - Fax:
Practice Address - Street 1:369 SAN MIGUEL DR
Practice Address - Street 2:SUITE 235
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7818
Practice Address - Country:US
Practice Address - Phone:949-706-2887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty