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Organization

ANAHEIM SURGICENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL P BLUM D.D.S. (PRESIDENT)
(714) 772-1736
Entity
Organization

Contact information

Practice address
1211 W LA PALMA AVE, SUITE 604A, ANAHEIM, CA 92801-2815
(714) 772-1736
(714) 520-0969
Mailing address
1211 W LA PALMA AVE, SUITE 604A, ANAHEIM, CA 92801-2815
(714) 772-1736
(714) 520-0969

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
BUS1998002520
CA

Other

Enumeration date
12/11/2006
Last updated
04/13/2012
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