| NPI | 1780357616 |
|---|---|
| Doing Business As | FASHION ISLAND SURGERY CENTER - NEWPORT BEACH |
| Entity Type | Organization |
| Authorized Contact | MATTHEW SHEA Administrator 714-658-4215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2023-10-16 |