Organization
AMBULATORY SURGERY UNIT A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVRO GAON MD (PRESIDENT)
(949) 640-4115
Entity
Organization
Contact information
Practice address
1401 AVOCADO AVE, SUITE 301, NEWPORT BEACH, CA 92660-7720
(949) 640-4115
Mailing address
1401 AVOCADO AVE, SUITE 301, NEWPORT BEACH, CA 92660-7720
(949) 640-4115
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1739
AAAASF
—
Enumeration date
04/11/2016
Last updated
04/11/2016
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