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

Renaissance Surgical Arts at Newport Harbor, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1659685881

Renaissance Surgical Arts at Newport Harbor, LLC is an Ambulatory Surgical Clinic/Center in Costa Mesa, California. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1640 Newport Blvd Ste 100
Costa Mesa, CA 92627-3786
Phone: (949) 629-1400
Fax: (949) 629-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1659685881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Wallace — Ceo · (949) 629-1400
NPI enumeratedJuly 29, 2010
Last updated in NPPESSeptember 26, 2011
Mailing address1640 Newport Blvd Ste 100, Costa Mesa, CA 92627-3786

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