Organization · Type 2 NPI
Pacific Shore Surgery Center
Ambulatory Surgical Clinic/Center · Orange, CA
NPI number
1497046064
Active
Practice location
302 W. Laveta Ave, Suite 100
Orange, CA 92866
Fax (714) 285-0018
Mailing address
902 N Grand Ave, Suite 200
Santa Ana, CA 92701-4218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 425960 (CA) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1497046064
Pacific Shore Surgery Center's National Provider Identifier is 1497046064, issued on Apr 29, 2011. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Orange, CA. The record was last updated on Apr 29, 2011.