# ST JOSEPH SURGERY & LASER CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SAINT MARY AND JOSEPH SURGERY AND LASER CENTER, INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679528772
- **Authorized official:** MRS. KATHLEEN RUPER (CEO)
- **Authorized official phone:** (714) 633-6060

## Contact information

- **Practice address:** 436 S GLASSELL ST, ORANGE, CA 92866-1906
- **Practice address phone:** (714) 633-9566
- **Practice address fax:** (714) 633-7470
- **Mailing address:** 436 S GLASSELL ST, ORANGE, CA 92866-1906
- **Mailing address phone:** (714) 633-9566
- **Mailing address fax:** (714) 633-7470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 060000429 | CA | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 10/13/2008