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Organization

PS CENTER, LLC

Active
Other names
Pacific Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. REGINA BOORE RN (ADMINISTRATOR)
(949) 478-8000
Entity
Organization

Contact information

Practice address
1640 NEWPORT BLVD, SUITE 100, COSTA MESA, CA 92627-3786
(949) 478-8000
(949) 478-8001
Mailing address
1640 NEWPORT BLVD, SUITE 100, COSTA MESA, CA 92627-3786
(949) 478-8000
(949) 478-8001

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
08/09/2012
Last updated
08/09/2012
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