RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC is an ambulatory surgical clinic center in Costa Mesa, CA. RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC NPI is 1659685881. The provider is registered as an organization entity type.
The provider's business location address is:
1640 NEWPORT BLVD STE 100
COSTA MESA, CA
ZIP 92627-786
Phone: (949) 629-1400
Fax: (949) 629-1500
The provider's authorized official is Bruce Wallace .
The authorized official title is Ceo and has the following contact phone number (949) 629-1400.
The enumeration date for this NPI number is 7/29/2010 and was last updated on 9/26/2011.