Organization
ROX SURGERY CENTER NEWPORT BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FAVALE (ADMINISTRATOR)
(805) 581-5575
Entity
Organization
Contact information
Practice address
1617 WESTCLIFF DR, 106, NEWPORT BEACH, CA 92660-5524
(800) 660-6030
Mailing address
PO BOX 940358, SIMI VALLEY, CA 93094-0358
(805) 581-5575
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2013
Last updated
01/15/2014
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