Organization Name: | NEWPORT COAST SURGICAL INSTITUTE, INC. |
NPI Number: | 1023343696 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LUU Q DOAN (MEDICAL DIRECTOR) |
Mailing Address: | 18819 Delaware St Huntington Beach |
State: | CA US |
Postal Code: | 926481907 |
Phone Number: | 7145442233 |
Fax Number: | 7145442486 |
NPI Enumeration Date: | 10/14/2009 |
NPI Last Update Date: | 10/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |