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Organization
CANYON SPECIALTY SURGERY CENTER LLC
Active
Organization
CANYON SPECIALTY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMSHID SHADJAREH RN (CHAIRMAN, GOVERNING BODY)
(714) 462-3005
Entity
Organization
Contact information
Practice address
145 S CHAPARRAL CT STE 101, ANAHEIM, CA 92808-2265
(714) 462-3005
Mailing address
145 S CHAPARRAL CT STE 101, ANAHEIM, CA 92808-2265
(714) 462-3005
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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