Organization
SOUTH COAST SURGICAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZA VALDIVIAS (ADMINISTRATOR)
(714) 432-1438
Entity
Organization
Contact information
Practice address
3420 BRISTOL ST, SUITE 750, COSTA MESA, CA 92626-7170
(714) 432-1438
(714) 459-8280
Mailing address
PO BOX 28318, SANTA ANA, CA 92799-8318
(714) 432-1438
(714) 459-8280
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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