# OC SURGICAL SUPPORT LLC

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

## Provider details

- **NPI number:** 1104698638
- **Authorized official:** DAVID E CARRY DC (MANAGER)
- **Authorized official phone:** (310) 543-7779

## Contact information

- **Practice address:** 4501 BIRCH ST STE 101A, NEWPORT BEACH, CA 92660-1990
- **Practice address phone:** (310) 543-7779
- **Practice address fax:** (844) 386-5090
- **Mailing address:** 1231 CABRILLO AVE STE 205, TORRANCE, CA 90501-2867
- **Mailing address phone:** (310) 543-7779
- **Mailing address fax:** (844) 386-5090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2023
- **Last updated:** 01/04/2024