# NORTHWEST SURGICAL DEVELOPMENT OF IRVINE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Athenix
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629482609
- **Authorized official:** MR. JAMES HAEFNER (CEO)
- **Authorized official phone:** (949) 600-9931

## Contact information

- **Practice address:** 113 WATERWORKS WAY STE 300, IRVINE, CA 92618-3174
- **Practice address phone:** (949) 450-0596
- **Practice address fax:** (949) 450-0804
- **Mailing address:** 65 ENTERPRISE STE 125, ALISO VIEJO, CA 92656-2706
- **Mailing address phone:** (949) 600-9931
- **Mailing address fax:** (949) 600-8029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 10305 | CA | Yes |

## Other

- **Enumeration date:** 06/17/2014
- **Last updated:** 02/10/2015