NEWPORT CENTER SURGICAL NPI 1508896200

NPI Information

NPI: 1508896200
Provider Name: NEWPORT CENTER SURGICAL
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1019467

Address:
17 CORPORATE PLAZA DR
STE. 120
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 706-6300
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NEWPORT CENTER SURGICAL is an ambulatory surgical clinic center in Newport Beach, CA. NEWPORT CENTER SURGICAL NPI is 1508896200. The provider is registered as an organization entity type.

The provider's business location address is:

17 CORPORATE PLAZA DR
STE. 120
NEWPORT BEACH, CA
ZIP 92660-902
Phone: (949) 706-6300

The provider's authorized official is Milind K. Ambe .
The authorized official title is Co-owner and has the following contact phone number (949) 706-6300.

The CLIA number assigned to this NPI record is 05D1019467 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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