Organization
SURGERY CENTER AT SOUTH COAST PLAZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOANG LOUIS NGUYEN MD (MEDICAL DIRECTOR)
(714) 619-2650
Entity
Organization
Contact information
Practice address
3420 BRISTOL ST, SUITE 701, COSTA MESA, CA 92626-7170
(714) 619-2658
(855) 885-2620
Mailing address
3420 BRISTOL ST, SUITE 701, COSTA MESA, CA 92626-7170
(714) 619-2658
(855) 885-2620
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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