CHAMPION SURGERY CENTER, LLC
NPI 1225401672
Durable Medical Equipment & Medical Supplies in Newport Beach, CA

Active since November 06, 2015
4463 BIRCH ST, STE 150, NEWPORT BEACH, CA 92660(562) 842-3595 Get Directions Write a Review

NPPES record last updated: July 31, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 31, 2017, Jul 25, 2017, Nov 13, 2015 (3 updates tracked since 2015).

  • Organization
  • Durable Medical Equipment & Medical Supp...

About CHAMPION SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Champion Surgery Center, Llc, a provider established in Newport Beach, California operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1225401672 assigned on November 2015. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Huu Pham M.d (Medical Director)

NPI
1225401672 Verify this NPI
Provider Name
CHAMPION SURGERY CENTER, LLC
Entity Type
Organization
Location Address
4463 BIRCH ST STE 150 NEWPORT BEACH, CA 92660
Location Phone
(562) 842-3595
Mailing Address
11244 SNOWDROP AVE FOUNTAIN VALLEY, CA 92708
Mailing Phone
(714) 566-5240
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2015
Last Update Date
07-31-2017
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QA1903XAmbulatory Health Care Facilities

Clinic/Center
Ambulatory Surgical

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. HUU PHAM M.D

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(562) 842-3595

Reviews for CHAMPION SURGERY CENTER, LLC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
4463 BIRCH ST, SUITE 150
NEWPORT BEACH, CA 92660
Family Medicine
4463 BIRCH ST, SUITE 105
NEWPORT BEACH, CA 92660
Plastic Surgery (Surgery of the Hand)
4463 BIRCH ST
NEWPORT BEACH, CA 92660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225401672, enumerated as an "organization" on November 06, 2015.

The provider is located at 4463 BIRCH ST STE 150 NEWPORT BEACH, CA 92660 and the phone number is (562) 842-3595.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.