Organization
NEWPORT AVENUE SURGERY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARVIN TANEJA MD (OWNER)
(714) 368-5070
Entity
Organization
Contact information
Practice address
13132 NEWPORT AVE STE 200, TUSTIN, CA 92780-3429
(714) 368-5070
(714) 368-3300
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73276
AAA HC
CA
Enumeration date
04/18/2007
Last updated
08/22/2020
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