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Organization
RECONSTRUCTIVE SURGERY CENTER OF NEWPORT BEACH INC
Active
Organization
RECONSTRUCTIVE SURGERY CENTER OF NEWPORT BEACH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON J MADORSKY M.D (MEDICAL DIRECTOR)
(949) 200-1600
Entity
Organization
Contact information
Practice address
180 NEWPORT CENTER DR, SUITE 150, NEWPORT BEACH, CA 92660-6972
(949) 200-1600
(949) 200-1610
Mailing address
180 NEWPORT CENTER DR, SUITE 150, NEWPORT BEACH, CA 92660-6972
(949) 200-1600
(949) 200-1610
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
3506862
CA
Other
Enumeration date
04/11/2013
Last updated
05/11/2017
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