Organization
CANYON SPECIALTY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMSHID SHADJAREH RN (CHAIRMAN, GOVERNING BODY)
(714) 462-3005
Entity
Organization
Contact information
Practice address
145 S CHAPARRAL CT STE 101, ANAHEIM, CA 92808-2265
(714) 462-3005
Mailing address
145 S CHAPARRAL CT STE 101, ANAHEIM, CA 92808-2265
(714) 462-3005
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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