Organization
NEWPORT COAST SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA SERDA (OWNER)
(661) 472-4177
Entity
Organization
Contact information
Practice address
4501 BIRCH ST STE A, NEWPORT BEACH, CA 92660-1928
(661) 472-4177
Mailing address
2711 N SEPULVEDA BLVD # 223, MANHATTAN BEACH, CA 90266-2725
(661) 472-4177
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
07/19/2018
Last updated
08/27/2024
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