Provider Demographics
NPI:1619924131
Name:WESTCLIFF SURGERY CENTER,LLC
Entity Type:Organization
Organization Name:WESTCLIFF SURGERY CENTER,LLC
Other - Org Name:NEWPORT BLUFFS SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SURGERY CENTER MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-515-6218
Mailing Address - Street 1:1617 WESTCLIFF DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5524
Mailing Address - Country:US
Mailing Address - Phone:949-515-6218
Mailing Address - Fax:949-515-3575
Practice Address - Street 1:1617 WESTCLIFF DR
Practice Address - Street 2:SUITE 106
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5524
Practice Address - Country:US
Practice Address - Phone:949-515-6218
Practice Address - Fax:949-515-3575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical