| NPI | 1154998771 |
|---|---|
| Doing Business As | NEWPORT SUPERIOR SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | SHAHROOZ SEAN KELISHADI Plastic Surgeon 949-515-7874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |