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Organization
ORANGE COAST SURGICAL CENTER, INC
Active
Organization
ORANGE COAST SURGICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY PIERCE MUDGE M.D. (MEDICAL DIRECTOR)
(949) 644-2450
Entity
Organization
Contact information
Practice address
240 NEWPORT CENTER DR, # 105, NEWPORT BEACH, CA 92660-7512
(949) 644-2450
(949) 644-2451
Mailing address
240 NEWPORT CENTER DR, # 105, NEWPORT BEACH, CA 92660-7512
(949) 644-2450
(949) 644-2451
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/25/2006
Last updated
06/15/2010
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