RECONSTRUCTIVE SURGERY CENTER OF NEWPORT BEACH INC
Ambulatory Health at Newport Center Dr, Newport Beach, CA

License number
California 3506862
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: SIMON J MADORSKY M.D
Title: MEDICAL DIRECTOR
Phone: (949) 200-1600
Address
Address
180 Newport Center Dr SUITE 150, Newport Beach, CA 92660
National Provider ID: 1437592169
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Reconstructive Surgery Center of Newport Beach Inc

180 Newport Ctr Dr, Newport Beach, CA 92660

Registration:
Sep 12, 2012
State ID:
03506862
Business type:
Articles of Incorporation
President:
Simon Joseph Madorsky (President)

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