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Organization
MESA SURGICENTER
Active
Organization
MESA SURGICENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MARTIN WALD JR. MD (PHYSICIAN)
(714) 738-4282
Entity
Organization
Contact information
Practice address
100 E VALENCIA MESA DR # 303, FULLERTON, CA 92835-3813
(714) 738-4282
Mailing address
100 E VALENCIA MESA DR # 303, FULLERTON, CA 92835-3813
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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