Organization
HOAG OUTPATIENT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY MCKIM (DIRECTOR/OFFICER)
(949) 680-3443
Entity
Organization
Contact information
Practice address
500 SUPERIOR AVE STE 130, NEWPORT BEACH, CA 92663-3659
(949) 520-7804
(949) 520-7805
Mailing address
500 SUPERIOR AVE STE 130, NEWPORT BEACH, CA 92663-3659
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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