# ORTHOPEDIC SPECIALISTS OF NEWPORT BEACH

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

## Provider details

- **NPI number:** 1407053242
- **Authorized official:** VICTORIA LISTER (CEO)
- **Authorized official phone:** (949) 722-5090

## Contact information

- **Practice address:** 22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7901
- **Practice address phone:** (949) 722-7038
- **Practice address fax:** (949) 630-4900
- **Mailing address:** 22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7901
- **Mailing address phone:** (949) 722-7038
- **Mailing address fax:** (949) 630-4900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 08/22/2020