Organization · Type 2 NPI
Pegasus Surgery Center LLC
Ambulatory Surgical Clinic/Center · Newport Beach, CA
NPI number
1366044596
Active
Practice location
20162 SW Birch St Ste 100
Newport Beach, CA 92660-0797
Fax (949) 449-8564
Mailing address
13071 Solinda
Tustin, CA 92782-8709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1366044596
Pegasus Surgery Center LLC's National Provider Identifier is 1366044596, issued on Nov 12, 2020. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Newport Beach, CA. The record was last updated on Dec 8, 2021.