# PACIFIC SHORE SURGERY CENTER

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

## Provider details

- **NPI number:** 1497046064
- **Authorized official:** DR. FRANK BERNARD GIACOBETTI M.D. (CEO)
- **Authorized official phone:** (714) 285-0014

## Contact information

- **Practice address:** 302 W. LAVETA AVE, SUITE 100, ORANGE, CA 92866
- **Practice address phone:** (714) 516-2605
- **Practice address fax:** (714) 285-0018
- **Mailing address:** 902 N GRAND AVE, SUITE 200, SANTA ANA, CA 92701-4218
- **Mailing address phone:** (714) 285-0014
- **Mailing address fax:** (714) 285-0018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 425960 | CA | Yes |

## Other

- **Enumeration date:** 04/29/2011
- **Last updated:** 04/29/2011