# PRIME SURGICAL CTR OF FOOTHILL RANCH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIME SURGICAL AFFILIATES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023421146
- **Legal business name:** PRIME SURGICAL AFFILIATES
- **Authorized official:** CAROLINE SINGER CASC (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (818) 937-9969

## Contact information

- **Practice address:** 27462 PORTOLA PKWY, SUITE 100, FOOTHILL RANCH, CA 92610-2838
- **Practice address phone:** (949) 900-1340
- **Mailing address:** 550 N BRAND BLVD STE 900, GLENDALE, CA 91203-4721
- **Mailing address phone:** (818) 937-9969
- **Mailing address fax:** (818) 937-9968

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2014
- **Last updated:** 10/11/2022