# ANAHEIM SURGICENTER INC

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

## Provider details

- **NPI number:** 1215097142
- **Authorized official:** DR. MICHAEL P BLUM D.D.S. (PRESIDENT)
- **Authorized official phone:** (714) 772-1736

## Contact information

- **Practice address:** 1211 W LA PALMA AVE, SUITE 604A, ANAHEIM, CA 92801-2815
- **Practice address phone:** (714) 772-1736
- **Practice address fax:** (714) 520-0969
- **Mailing address:** 1211 W LA PALMA AVE, SUITE 604A, ANAHEIM, CA 92801-2815
- **Mailing address phone:** (714) 772-1736
- **Mailing address fax:** (714) 520-0969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | BUS1998002520 | CA | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 04/13/2012
