Organization
MEMORIAL CARE SURGICAL CENTER AT ORANGE COAST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL R JACOB (VP OPERATIONS)
(714) 378-7412
Entity
Organization
Contact information
Practice address
18111 BROOKHURST STREET, 3200 SUITE, FOUNTAIN VALLEY, CA 92708
(951) 378-3738
Mailing address
18111 BROOKHURST STREET, 3200 SUITE, FOUNTAIN VALLEY, CA 92708
(951) 378-3738
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2009
Last updated
09/11/2009
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