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

Newport Beach Surgical and Medical Group Inc

Organization Dermatology Physician · NPI 1477953511

Newport Beach Surgical and Medical Group Inc is a Dermatology Physician in Newport Beach, California. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

180 Newport Center Dr Ste 158
Newport Beach, CA 92660-6972
Phone: (949) 719-1800
Fax: (949) 719-1810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Dermatology Physician Taxonomy 207N00000X
Facial Plastic Surgery Physician Taxonomy 207YS0123X

Record details

NPI number1477953511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simon Madorsky — President · (949) 719-1800
NPI enumeratedAugust 26, 2014
Last updated in NPPESDecember 4, 2014
Mailing addressPo Box 6765, Orange, CA 92863-6765

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