# SPECIALTY SURGERY CENTER AT FOUNTAIN VALLEY REGIONAL HOSPITAL LLC

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

## Provider details

- **NPI number:** 1215111869
- **Authorized official:** ANNIE MEEKS (PROJECT DIRECTOR)
- **Authorized official phone:** (913) 226-3401

## Contact information

- **Practice address:** 11190 WARNER AVE, SUITE 212, FOUNTAIN VALLEY, CA 92708-4019
- **Practice address phone:** (714) 427-0880
- **Mailing address:** 11190 WARNER AVE, SUITE 212, FOUNTAIN VALLEY, CA 92708-4019

## Taxonomy

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

## Other

- **Enumeration date:** 12/18/2007
- **Last updated:** 04/03/2009