# NEWPORT INSTITUTE OF MINIMALLY INVASIVE SURGERY

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

## Provider details

- **NPI number:** 1396279592
- **Authorized official:** SONNY J RUBIN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (949) 933-7012

## Contact information

- **Practice address:** 455 OLD NEWPORT BLVD, SUITE 100, NEWPORT BEACH, CA 92663-4241
- **Practice address phone:** (949) 933-7012
- **Practice address fax:** (949) 387-3380
- **Mailing address:** 455 OLD NEWPORT BLVD, SUITE 100, NEWPORT BEACH, CA 92663-4241
- **Mailing address phone:** (949) 933-7012
- **Mailing address fax:** (949) 387-3380

## Taxonomy

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

## Other

- **Enumeration date:** 04/13/2017
- **Last updated:** 04/13/2017