Organization
SELECT SPECIALTY SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE RICHARDS (CO-OWNER)
(714) 290-6226
Entity
Organization
Contact information
Practice address
10900 WARNER AVE STE 101A, FOUNTAIN VALLEY, CA 92708-3846
(714) 290-6226
Mailing address
2367 GYPSUM CT, CHINO HILLS, CA 91709-2130
(714) 290-6226
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
12/09/2022
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