# NEWPORT SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1467096644
- **Authorized official:** MISHA HELDT (OFFIE MANAGER)
- **Authorized official phone:** (714) 458-9970

## Contact information

- **Practice address:** 400 NEWPORT CENTER DR STE 102, NEWPORT BEACH, CA 92660-8602
- **Practice address phone:** (949) 706-0678
- **Mailing address:** 400 NEWPORT CENTER DR STE 102, NEWPORT BEACH, CA 92660-8602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2019
- **Last updated:** 11/01/2019