# CALIFORNIA SURGICAL COOPERATIVE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fashion Island Surgery Center - Newport Beach
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780357616
- **Authorized official:** MATTHEW SHEA (ADMINISTRATOR)
- **Authorized official phone:** (714) 658-4215

## Contact information

- **Practice address:** 1441 AVOCADO AVE STE 100, NEWPORT BEACH, CA 92660-7702
- **Practice address phone:** (714) 658-4215
- **Mailing address:** 1441 AVOCADO AVE STE 100, NEWPORT BEACH, CA 92660-7702
- **Mailing address phone:** (949) 209-5960
- **Mailing address fax:** (949) 209-5961

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2021
- **Last updated:** 10/16/2023