NEWPORT BEACH SURGERY CENTER, L P
Surgery Yellow Pages
Newport Beach, California
Provider NPI: 1316949415
Organization Information:Organization Name: NEWPORT BEACH SURGERY CENTER, L P
Practice Location:
361 HOSPITAL ROAD SUITE 124 NEWPORT BEACH, CA 92663 US
Tel: 949-631-0988 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
361 HOSPITAL ROAD SUITE 124 NEWPORT BEACH, CA 92663 US
Tel: 949-631-0988 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | CA | 060000339 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
STATE LICENSE | 060000339 | CA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin