Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Surgical

Organization Surgery Physician · NPI 1669975595

Elite Surgical is a Surgery Physician 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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