Organization
NEWPORT SURGICAL ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIAMAK AGHA-MOHAMMADI M.D. (MEDICAL DIRECTOR)
(949) 537-2177
Entity
Organization
Contact information
Practice address
3701 BIRCH ST, SUITE 200, NEWPORT BEACH, CA 92660-2618
(949) 537-2177
Mailing address
3701 BIRCH ST, SUITE 200, NEWPORT BEACH, CA 92660-2618
(949) 537-2177
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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