# THE ADVANCED MUSCULOSKELETAL SURGERY CENTER OF IRVINE, LLC

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

## Provider details

- **NPI number:** 1538687264
- **Authorized official:** GOWRIHARAN THAIYANANTHAN MD (PARTNER)
- **Authorized official phone:** (949) 335-7500

## Contact information

- **Practice address:** 18 ENDEAVOR STE 102, IRVINE, CA 92618-3180
- **Practice address phone:** (949) 335-7500
- **Mailing address:** 4631 TELLER AVE, NEWPORT BEACH, CA 92660-8105
- **Mailing address phone:** (949) 335-7500

## Taxonomy

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

## Other

- **Enumeration date:** 09/01/2017
- **Last updated:** 09/01/2017