# SPECIALTY SURGICAL CENTER OF IRVINE LP

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

## Provider details

- **NPI number:** 1306851902
- **Authorized official:** JENNIFER B BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 234-5954

## Contact information

- **Practice address:** 15825 LAGUNA CANYON RD, STE. 200, IRVINE, CA 92618-2125
- **Practice address phone:** (310) 659-6333
- **Practice address fax:** (310) 659-2333
- **Mailing address:** 15825 LAGUNA CANYON RD STE 200, IRVINE, CA 92618-2127
- **Mailing address phone:** (949) 341-3499
- **Mailing address fax:** (949) 788-0556

## Taxonomy

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

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 02/08/2023
