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Organization
FOUNTAIN VALLEY SURGERY CENTER, LLC
Active
Organization
FOUNTAIN VALLEY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER TOPP (ADMINISTRATOR)
(714) 427-0880
Entity
Organization
Contact information
Practice address
11190 WARNER AVE, SUITE 212, FOUNTAIN VALLEY, CA 92708-4019
(714) 338-1650
(714) 751-2348
Mailing address
11190 WARNER AVE., SUITE 212, FOUNTAIN VALLEY, CA 92708
(714) 338-1650
(714) 751-2348
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/22/2014
Last updated
07/11/2019
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