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Organization
DOCTORS SURGERY CENTER, LLC
Active
Organization
DOCTORS SURGERY CENTER, LLC
Active
Other names
OC Cardio Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIANNE TIEMANN (MEMBER)
(714) 698-1270
Entity
Organization
Contact information
Practice address
10900 WARNER AVE, SUITE 101-A, FOUNTAIN VALLEY, CA 92708-3846
(714) 698-1270
(714) 962-7261
Mailing address
10900 WARNER AVE, SUITE 101-A, FOUNTAIN VALLEY, CA 92708-3846
(714) 698-1270
(714) 962-7261
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
02/24/2010
Last updated
03/27/2018
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