# MANCHESTER SURGICAL PAVILLION

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

## Provider details

- **NPI number:** 1093843120
- **Authorized official:** GREGORY EVANS M.D. (CHAIR)
- **Authorized official phone:** (714) 456-3228

## Contact information

- **Practice address:** 200 S MANCHESTER AVE, SUITE 650, ORANGE, CA 92868-3217
- **Practice address phone:** (310) 202-6204
- **Practice address fax:** (310) 202-0831
- **Mailing address:** PO BOX 515072, LOS ANGELES, CA 90051-5072
- **Mailing address phone:** (310) 202-6204
- **Mailing address fax:** (310) 202-0831

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 07/21/2022