# HUNTINGTON BEACH SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316012339
- **Authorized official:** DR. DONEL ELSHIRE III MD (CEO)
- **Authorized official phone:** (714) 376-9236

## Contact information

- **Practice address:** 12828 BAYWIND PT, SAN DIEGO, CA 92130-2796
- **Practice address phone:** (714) 376-9236
- **Mailing address:** 12828 BAYWIND PT, SAN DIEGO, CA 92130-2796
- **Mailing address phone:** (714) 376-9236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A40737 | CA | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 08/22/2020