# IRVINE SURGICAL PARTNERS LLC

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

## Provider details

- **NPI number:** 1316395270
- **Authorized official:** GLEN R REINER (SVP)
- **Authorized official phone:** (602) 373-3565

## Contact information

- **Practice address:** 16405 SAND CANYON AVE, BUILDING A SUITE 100, IRVINE, CA 92618-3785
- **Practice address phone:** (801) 580-3141
- **Mailing address:** 16405 SAND CANYON AVE, BUILDING A SUITE 100, IRVINE, CA 92618-3785
- **Mailing address phone:** (801) 580-3141

## Taxonomy

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

## Other

- **Enumeration date:** 06/01/2016
- **Last updated:** 06/22/2020
