Organization
CALIFORNIA SURGICAL COOPERATIVE LLC
Active
Other names
Fashion Island Surgery Center - Newport Beach
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SHEA (ADMINISTRATOR)
(714) 658-4215
Entity
Organization
Contact information
Practice address
1441 AVOCADO AVE STE 100, NEWPORT BEACH, CA 92660-7702
(714) 658-4215
Mailing address
1441 AVOCADO AVE STE 100, NEWPORT BEACH, CA 92660-7702
(949) 209-5960
(949) 209-5961
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
10/16/2023
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