# PACIFICOAST AMBULATORY SURGICENTER, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Coast Ambulatory Surgicenter
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669405684
- **Authorized official:** CHRIS GANGNES (GENERAL MANAGER)
- **Authorized official phone:** (949) 276-4141

## Contact information

- **Practice address:** 665 CAMINO DE LOS MARES, SUITE 100C, SAN CLEMENTE, CA 92673-2859
- **Practice address phone:** (949) 481-7760
- **Mailing address:** 665 CAMINO DE LOS MARES, SUITE 100C, SAN CLEMENTE, CA 92673-2859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 18448 | CA | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 12/15/2015