Organization
NEWPORT PARTNERS SURGICENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL GHODADRA MD (MEDICAL DIRECTOR)
(678) 596-1344
Entity
Organization
Contact information
Practice address
2042 QUAIL ST, NEWPORT BEACH, CA 92660-2220
(310) 508-4073
(877) 785-5469
Mailing address
2042 QUAIL STREET, NEWPORT BEACH, CA 92660
(310) 508-4073
(877) 785-5469
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A116163
CA
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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