CORONADO SURGERY CENTER LLC – NPI #1124419510
Clinic/Center

CORONADO SURGERY CENTER LLC is an AHC clinic located in NEWPORT BEACH, CA. NPPES has assigned the NPI number 1124419510 to CORONADO SURGERY CENTER LLC on February 07, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 11 years ago on Jun 30, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORONADO SURGERY CENTER LLC below.

NPI Profile for
CORONADO SURGERY CENTER LLC

NPI Number
1124419510
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CORONADO SURGERY CENTER LLC
Primary location
4501 BIRCH STREET
NEWPORT BEACH, CA 92660-8602
Phone: (661) 472-4177 Fax: (760) 262-3917
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ELENA SERDA
OWNER
Phone: (661) 472-4177
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.