Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Elite Surgical

Organization Surgery Physician · NPI 1669975595

Elite Surgical provides Surgery Physician services in Newport Beach, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

496 Old Newport Blvd Ste 6
Newport Beach, CA 92663-4264
Phone: (949) 722-7662
Fax: (949) 631-6585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1669975595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Poliquin — Office Mgr · (949) 722-7662
NPI enumeratedMarch 16, 2018
Last updated in NPPESMarch 16, 2018
Mailing address496 Old Newport Blvd Ste 6, Newport Beach, CA 92663-4264

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