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Organization
PEGASUS SURGERY CENTER LLC
Active
Organization
PEGASUS SURGERY CENTER LLC
Active
Other names
Pegasus Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL TASSOS CPA (CFO)
(661) 965-5020
Entity
Organization
Contact information
Practice address
20162 SW BIRCH ST STE 100, NEWPORT BEACH, CA 92660-0797
(949) 508-1198
(949) 449-8564
Mailing address
13071 SOLINDA, TUSTIN, CA 92782-8709
(661) 965-5020
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/12/2020
Last updated
12/08/2021
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