# SURGICARE OF LA VETA, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SURGICARE OF LA VETA, LTD.
- **Other names:** Newport Coast Surgical Institute
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619576824
- **Legal business name:** SURGICARE OF LA VETA, LTD.
- **Authorized official:** ISIDA PHELPS (CEO)
- **Authorized official phone:** (657) 944-3272

## Contact information

- **Practice address:** 20360 SW BIRCH ST STE 110, NEWPORT BEACH, CA 92660-1532
- **Practice address phone:** (949) 833-1432
- **Mailing address:** 20360 SW BIRCH ST STE 110, NEWPORT BEACH, CA 92660-1532
- **Mailing address phone:** (949) 833-1432

## Taxonomy

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

## Other

- **Enumeration date:** 10/19/2020
- **Last updated:** 09/02/2025