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Organization
NEWPORT BEACH SURGERY CENTER, LLC
Active
Organization
NEWPORT BEACH SURGERY CENTER, LLC
Active
Other names
Newport Beach Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY TREY SAMPSON III (ADMINISTRATOR)
(949) 631-0988
Entity
Organization
Contact information
Practice address
361 HOSPITAL ROAD, SUITE 124, NEWPORT BEACH, CA 92663
(949) 631-0988
(949) 631-2504
Mailing address
361 HOSPITAL ROAD, SUITE 124, NEWPORT BEACH, CA 92663
(949) 631-0988
(949) 631-2504
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
060000339
CA
Other
Enumeration date
06/02/2005
Last updated
05/05/2023
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