RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC – NPI #1659685881
Clinic/Center

RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC is an AHC clinic located in COSTA MESA, CA. NPPES has assigned the NPI number 1659685881 to RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC on July 29, 2010. 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 15 years ago on Sep 26, 2011. 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 RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC below.

NPI Profile for
RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC

NPI Number
1659685881
Enumeration Date

(about 16 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
RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC
Primary location
1640 NEWPORT BLVD STE 100
COSTA MESA, CA 92627-3786
Phone: (949) 629-1400 Fax: (949) 629-1500
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRUCE WALLACE
CEO
Phone: (949) 629-1400
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.