# PEGASUS SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pegasus Surgery Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366044596
- **Authorized official:** MR. MICHAEL TASSOS CPA (CFO)
- **Authorized official phone:** (661) 965-5020

## Contact information

- **Practice address:** 20162 SW BIRCH ST STE 100, NEWPORT BEACH, CA 92660-0797
- **Practice address phone:** (949) 508-1198
- **Practice address fax:** (949) 449-8564
- **Mailing address:** 13071 SOLINDA, TUSTIN, CA 92782-8709
- **Mailing address phone:** (661) 965-5020

## Taxonomy

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

## Other

- **Enumeration date:** 11/12/2020
- **Last updated:** 12/08/2021