# NEWPORT COAST OUTPATIENT SURGERY CENTER

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

## Provider details

- **NPI number:** 1356395354
- **Authorized official:** DR. JON M GRAZER MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (949) 644-1240

## Contact information

- **Practice address:** 400 NEWPORT CENTER DR, SUITE 300, NEWPORT BEACH, CA 92660-7601
- **Practice address phone:** (949) 644-1240
- **Practice address fax:** (949) 644-9274
- **Mailing address:** 400 NEWPORT CENTER DR, SUITE 300, NEWPORT BEACH, CA 92660-7601
- **Mailing address phone:** (949) 644-1240
- **Mailing address fax:** (949) 644-9274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 08/22/2020