# ORANGE COUNTY OPHTHALMOLOGY MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orange County Eye Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194803320
- **Authorized official:** MRS. RUTH GASSO (OFFICE MANAGER)
- **Authorized official phone:** (714) 534-8373

## Contact information

- **Practice address:** 12665 GARDEN GROVE BLVD, SUITE 401, GARDEN GROVE, CA 92843-1901
- **Practice address phone:** (714) 534-8373
- **Practice address fax:** (714) 534-8759
- **Mailing address:** 12665 GARDEN GROVE BLVD, SUITE 401, GARDEN GROVE, CA 92843-1901
- **Mailing address phone:** (714) 534-8373
- **Mailing address fax:** (714) 534-8759

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 04/13/2016