# ORANGE COAST SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orange Coast MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407086044
- **Authorized official:** MR. KRISHNA PRASAD SURAPANENI M.D. (OWNER/CEO)
- **Authorized official phone:** (714) 399-0046

## Contact information

- **Practice address:** 1000 S ANAHEIM BLVD SUITE 300, ANAHEIM, CA 92805-5804
- **Practice address phone:** (714) 399-0046
- **Practice address fax:** (714) 399-0049
- **Mailing address:** 1000 S ANAHEIM BLVD STE 300, ANAHEIM, CA 92805-5804
- **Mailing address phone:** (714) 399-0046
- **Mailing address fax:** (714) 399-0049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A49872 | CA | Yes |

## Other

- **Enumeration date:** 07/16/2009
- **Last updated:** 07/16/2009
