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Organization
ORANGE COAST SURGERY CENTER
Active
Organization
ORANGE COAST SURGERY CENTER
Active
Other names
Orange Coast MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISHNA PRASAD SURAPANENI M.D. (OWNER/CEO)
(714) 399-0046
Entity
Organization
Contact information
Practice address
1000 S ANAHEIM BLVD SUITE 300, ANAHEIM, CA 92805-5804
(714) 399-0046
(714) 399-0049
Mailing address
1000 S ANAHEIM BLVD STE 300, ANAHEIM, CA 92805-5804
(714) 399-0046
(714) 399-0049
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A49872
CA
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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