# PLACENTIA SURGICAL

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

## Provider details

- **NPI number:** 1023504206
- **Authorized official:** MRS. DENISE BALKCOM (ADMINISTRATOR)
- **Authorized official phone:** (888) 268-8607

## Contact information

- **Practice address:** 1041 E YORBA LINDA BLVD STE 200A, PLACENTIA, CA 92870-3728
- **Practice address phone:** (714) 223-9000
- **Practice address fax:** (714) 223-9002
- **Mailing address:** 1041 E YORBA LINDA BLVD STE 200A, PLACENTIA, CA 92870-3728
- **Mailing address phone:** (714) 223-9000
- **Mailing address fax:** (714) 223-9002

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2018
- **Last updated:** 07/10/2018