# AMERICAN SURGICAL CENTER-OC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003157835
- **Authorized official:** DR. MAHER ALI ABDALLAH M.D. (MEDICAL DIRECTOR/OWNER)
- **Authorized official phone:** (949) 309-3330

## Contact information

- **Practice address:** 1640 NEWPORT BLVD, SUITE 150, COSTA MESA, CA 92627-3786
- **Practice address phone:** (949) 309-3330
- **Practice address fax:** (949) 309-2578
- **Mailing address:** 1640 NEWPORT BLVD, SUITE 150, COSTA MESA, CA 92627-3786
- **Mailing address phone:** (949) 309-3330
- **Mailing address fax:** (949) 309-2578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A97415 | CA | Yes |

## Other

- **Enumeration date:** 03/04/2013
- **Last updated:** 03/04/2013