Organization
BRUCE DUBIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE DUBIN M.D. (OWNER)
(949) 640-4911
Entity
Organization
Contact information
Practice address
1401 AVOCADO AVE, 501, NEWPORT BEACH, CA 92660-7720
(949) 640-4911
(949) 640-0873
Mailing address
1401 AVOCADO AVE, 501, NEWPORT BEACH, CA 92660-7720
(949) 640-4911
(949) 640-0873
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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