Organization · Type 2 NPI

Foothill Surgical Institute, LLC

Ambulatory Surgical Clinic/Center · Lake Forest, CA

NPI number 1104985910 Active

Practice location

29300 Portola Pkwy, Suite A
Lake Forest, CA 92630-8718

Mailing address

29300 Portola Pkwy Ste A
Lake Forest, CA 92630-8741

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1104985910

Foothill Surgical Institute, LLC's National Provider Identifier is 1104985910, issued on Dec 7, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Lake Forest, CA. The record was last updated on Sep 14, 2023.