# ORANGEWOOD SURGICAL CENTER LLC

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

## Provider details

- **NPI number:** 1326223298
- **Authorized official:** DR. ALVARO LICEAGA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (714) 221-4236

## Contact information

- **Practice address:** 2143 W ORANGEWOOD AVE, ORANGE, CA 92868-1941
- **Practice address phone:** (714) 221-4236
- **Mailing address:** 2143 ORANGEWOOD AVE, ORANGE, CA 90051
- **Mailing address phone:** (714) 221-4236

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2008
- **Last updated:** 01/28/2009