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Organization
SUPERIOR SURGERY CENTER
Active
Organization
SUPERIOR SURGERY CENTER
Active
Other names
Newport Superior Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHROOZ SEAN KELISHADI MD (PLASTIC SURGEON)
(949) 515-7874
Entity
Organization
Contact information
Practice address
1501 SUPERIOR AVE STE 211, NEWPORT BEACH, CA 92663-3640
(949) 270-6013
Mailing address
1501 SUPERIOR AVE STE 211, NEWPORT BEACH, CA 92663-3640
(949) 270-6013
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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