# BACK BAY SURGERY CENTER

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

## Provider details

- **NPI number:** 1710801022
- **Authorized official:** ANA QUINTANILHA (CONSULTANT)
- **Authorized official phone:** (424) 744-0793

## Contact information

- **Practice address:** 3440 IRVINE AVE, NEWPORT BEACH, CA 92660-3114
- **Practice address phone:** (949) 432-4730
- **Mailing address:** 3440 IRVINE AVE, NEWPORT BEACH, CA 92660-3114
- **Mailing address phone:** (949) 432-4730

## Taxonomy

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

## Other

- **Enumeration date:** 08/07/2026
- **Last updated:** 08/07/2026