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Organization
NEWPORT INSTITUTE OF THE MINIMALLY INVASIVE SURGERY
Active
Organization
NEWPORT INSTITUTE OF THE MINIMALLY INVASIVE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO GUTIERREZ CRNA (ANESTHESIOLOGIST/OWNER)
(310) 386-6718
Entity
Organization
Contact information
Practice address
455 OLD NEWPORT BLVD, STE 100, NEWPORT BEACH, CA 92663-4241
(714) 396-8777
(714) 917-4615
Mailing address
455 OLD NEWPORT BLVD, STE 100, NEWPORT BEACH, CA 92663-4241
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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