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1265676993
SKIN CANCER AND RECONSTRUCTIVE SURGERY CENTER, LLC
NEWPORT BEACH, CA
NPI
1265676993
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Entity Type
Organization
Authorized Contact
SIMON JOSEPH MADORSKY
Owner
949-200-1600
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2009-04-24
Last Update Date
2019-01-23
Business Address
SKIN CANCER AND RECONSTRUCTIVE SURGERY CENTER, LLC
180 NEWPORT CENTER DR SUITE 157
NEWPORT BEACH, CA 92660-6972
Phone number: 949-200-1600
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Mailing Address
SKIN CANCER AND RECONSTRUCTIVE SURGERY CENTER, LLC
180 NEWPORT CENTER DR SUITE 157
NEWPORT BEACH, CA 92660-6972
Phone number: 949-200-1600
Copy
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