Organization
SUPERIOR SURGERY CENTER
Active
Other names
Newport Superior Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHROOZ SEAN KELISHADI MD (PLASTIC SURGEON)
(949) 515-7874
Entity
Organization
Contact information
Practice address
1501 SUPERIOR AVE STE 211, NEWPORT BEACH, CA 92663-3640
(949) 270-6013
Mailing address
1501 SUPERIOR AVE STE 211, NEWPORT BEACH, CA 92663-3640
(949) 270-6013
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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