Organization
NEWPORT BEACH ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY M FIELDS (VP)
(205) 545-2572
Entity
Organization
Contact information
Practice address
1525 SUPERIOR AVE, SUITE 114, NEWPORT BEACH, CA 92663-3639
(949) 646-6999
Mailing address
1525 SUPERIOR AVE, SUITE 114, NEWPORT BEACH, CA 92663-3639
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2006
Last updated
04/30/2015
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