Organization
CORONADO SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA SERDA (OWNER)
(661) 472-4177
Entity
Organization
Contact information
Practice address
4501 BIRCH STREET, NEWPORT BEACH, CA 92660-8602
(661) 472-4177
(760) 262-3917
Mailing address
4501 BIRCH STREET, NEWPORT BEACH, CA 92660-8602
(661) 472-4177
(760) 262-3917
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2015
Last updated
06/30/2015
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