# MEMORIAL CARE SURGICAL CENTER AT ORANGE COAST, LLC

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

## Provider details

- **NPI number:** 1114168309
- **Authorized official:** MS. CHERYL R JACOB (VP OPERATIONS)
- **Authorized official phone:** (714) 378-7412

## Contact information

- **Practice address:** 18111 BROOKHURST STREET, 3200 SUITE, FOUNTAIN VALLEY, CA 92708
- **Practice address phone:** (951) 378-3738
- **Mailing address:** 18111 BROOKHURST STREET, 3200 SUITE, FOUNTAIN VALLEY, CA 92708
- **Mailing address phone:** (951) 378-3738

## Taxonomy

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

## Other

- **Enumeration date:** 03/17/2009
- **Last updated:** 09/11/2009