# MILE SQUARE SURGERY CENTER INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1447255435
- **Authorized official:** DOUGLAS A. TRAN M.D. (DOCTOR)
- **Authorized official phone:** (714) 274-0388

## Contact information

- **Practice address:** 10760 WARNER AVENUE, 102, FOUNTAIN VALLEY, CA 92708
- **Practice address phone:** (714) 274-0388
- **Practice address fax:** (714) 274-0387
- **Mailing address:** 10760 WARNER AVENUE, 102, FOUNTAIN VALLEY, CA 92708
- **Mailing address phone:** (714) 274-0388
- **Mailing address fax:** (714) 274-0387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S051526 | CA | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 12/17/2014