Organization
FOOTHILL SURGICAL INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAZLI AREFKIA (CEO)
(949) 510-0951
Entity
Organization
Contact information
Practice address
29300 PORTOLA PKWY, SUITE A, LAKE FOREST, CA 92630-8718
(949) 367-1006
Mailing address
29300 PORTOLA PKWY STE A, LAKE FOREST, CA 92630-8741
(949) 367-1006
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2006
Last updated
09/14/2023
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