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

Skin Cancer and Reconstructive Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1265676993

Skin Cancer and Reconstructive Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Newport Beach, California. Registered with an NPI since 2009.

In the registry since
2009
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

180 Newport Center Dr Ste 157
Newport Beach, CA 92660-6972
Phone: (949) 200-1600
Fax: (949) 200-1610
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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 number1265676993
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simon Madorsky — Owner · (949) 200-1600
NPI enumeratedApril 24, 2009
Last updated in NPPESJanuary 23, 2019
Mailing address180 Newport Center Dr, Suite 157, Newport Beach, CA 92660-6972

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