Organization
NEWPORT INSTITUTE OF THE MINIMALLY INVASIVE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO GUTIERREZ CRNA (ANESTHESIOLOGIST/OWNER)
(310) 386-6718
Entity
Organization
Contact information
Practice address
455 OLD NEWPORT BLVD, STE 100, NEWPORT BEACH, CA 92663-4241
(714) 396-8777
(714) 917-4615
Mailing address
455 OLD NEWPORT BLVD, STE 100, NEWPORT BEACH, CA 92663-4241
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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