# BRUCE DUBIN

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

## Provider details

- **NPI number:** 1679716849
- **Authorized official:** DR. BRUCE DUBIN M.D. (OWNER)
- **Authorized official phone:** (949) 640-4911

## Contact information

- **Practice address:** 1401 AVOCADO AVE, 501, NEWPORT BEACH, CA 92660-7720
- **Practice address phone:** (949) 640-4911
- **Practice address fax:** (949) 640-0873
- **Mailing address:** 1401 AVOCADO AVE, 501, NEWPORT BEACH, CA 92660-7720
- **Mailing address phone:** (949) 640-4911
- **Mailing address fax:** (949) 640-0873

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2009
- **Last updated:** 04/16/2009