Organization
MANCHESTER SURGICAL PAVILLION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY EVANS M.D. (CHAIR)
(714) 456-3228
Entity
Organization
Contact information
Practice address
200 S MANCHESTER AVE, SUITE 650, ORANGE, CA 92868-3217
(310) 202-6204
(310) 202-0831
Mailing address
PO BOX 515072, LOS ANGELES, CA 90051-5072
(310) 202-6204
(310) 202-0831
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
03/01/2007
Last updated
07/21/2022
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