Organization
NEWPORT SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISHA HELDT (OFFIE MANAGER)
(714) 458-9970
Entity
Organization
Contact information
Practice address
400 NEWPORT CENTER DR STE 102, NEWPORT BEACH, CA 92660-8602
(949) 706-0678
Mailing address
400 NEWPORT CENTER DR STE 102, NEWPORT BEACH, CA 92660-8602
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
11/01/2019
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