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Organization
PACIFICOAST AMBULATORY SURGICENTER, LLC.
Active
Organization
PACIFICOAST AMBULATORY SURGICENTER, LLC.
Active
Other names
Pacific Coast Ambulatory Surgicenter
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS GANGNES (GENERAL MANAGER)
(949) 276-4141
Entity
Organization
Contact information
Practice address
665 CAMINO DE LOS MARES, SUITE 100C, SAN CLEMENTE, CA 92673-2859
(949) 481-7760
Mailing address
665 CAMINO DE LOS MARES, SUITE 100C, SAN CLEMENTE, CA 92673-2859
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
18448
CA
Other
Enumeration date
07/10/2006
Last updated
12/15/2015
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