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Organization
SURGICARE OF LA VETA, LTD.
Active
Organization
SURGICARE OF LA VETA, LTD.
Active
Parent organization
SURGICARE OF LA VETA, LTD.
Other names
Newport Coast Surgical Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURGICARE OF LA VETA, LTD.
Authorized official
ISIDA PHELPS (CEO)
(657) 944-3272
Entity
Organization
Contact information
Practice address
20360 SW BIRCH ST STE 110, NEWPORT BEACH, CA 92660-1532
(949) 833-1432
Mailing address
20360 SW BIRCH ST STE 110, NEWPORT BEACH, CA 92660-1532
(949) 833-1432
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/19/2020
Last updated
09/02/2025
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