170300000X
Newport Beach, CA
Specialty
170300000X
Credential
M.S
NPI
1023233996
361 Hospital Rd., Newport Beach, CA 92663
(949) 631-0988Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 170300000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 170300000X