# MOSAIC SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1508034380
- **Authorized official:** DR. STEVE T. VU M.D. (OWNER)
- **Authorized official phone:** (714) 848-1133

## Contact information

- **Practice address:** 17742 BEACH BLVD, STE. \#335, HUNTINGTON BEACH, CA 92647-6818
- **Practice address phone:** (714) 848-1133
- **Practice address fax:** (714) 848-4114
- **Mailing address:** 17742 BEACH BLVD, STE. \#335, HUNTINGTON BEACH, CA 92647-6818
- **Mailing address phone:** (714) 848-1133
- **Mailing address fax:** (714) 848-4114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A64785 | CA | Yes |

## Other

- **Enumeration date:** 02/14/2008
- **Last updated:** 10/20/2009