RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC

COSTA MESA, CA
NPI1659685881
Entity TypeOrganization
Authorized ContactBRUCE WALLACE
CEO
949-629-1400
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2010-07-29
Last Update Date2011-09-26
Business Address
RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC
1640 NEWPORT BLVD STE 100
COSTA MESA, CA 92627-3786
Phone number: 949-629-1400
Mailing Address
RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC
1640 NEWPORT BLVD STE 100
COSTA MESA, CA 92627-3786
Phone number: 949-629-1400
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