Organization
OC MULTISPECIALTY SURGERY CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAAC VERBUKH M.D. (OWNER)
(310) 827-2549
Entity
Organization
Contact information
Practice address
14642 NEWPORT AVE, SUITE 100, TUSTIN, CA 92780
(714) 505-5005
(714) 505-5009
Mailing address
4333 ADMIRALTY WAY, WEST HELIX 9, MARINA DEL REY, CA 90292-5469
(310) 827-2549
(424) 270-9451
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
03/31/2009
Last updated
02/24/2015
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