# SOUTH COAST SURGICAL CARE, INC.

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

## Provider details

- **NPI number:** 1184950073
- **Authorized official:** LORENZA VALDIVIAS (ADMINISTRATOR)
- **Authorized official phone:** (714) 432-1438

## Contact information

- **Practice address:** 3420 BRISTOL ST, SUITE 750, COSTA MESA, CA 92626-7170
- **Practice address phone:** (714) 432-1438
- **Practice address fax:** (714) 459-8280
- **Mailing address:** PO BOX 28318, SANTA ANA, CA 92799-8318
- **Mailing address phone:** (714) 432-1438
- **Mailing address fax:** (714) 459-8280

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2009
- **Last updated:** 10/27/2009
