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Organization
NEWPORT CENTRE OUTPATIENT SURGERY FACILITIES, INC.
Active
Organization
NEWPORT CENTRE OUTPATIENT SURGERY FACILITIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL V. ELAM M.D. (OWNER)
(949) 721-1113
Entity
Organization
Contact information
Practice address
360 SAN MIGUEL DR STE 207, NEWPORT BEACH, CA 92660-7820
(949) 721-1113
Mailing address
360 SAN MIGUEL DR STE 207, NEWPORT BEACH, CA 92660-7820
(949) 721-1113
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
C38533
CA
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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