Organization
SPECIALTY SURGICAL CENTER OF IRVINE LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER B BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
15825 LAGUNA CANYON RD, STE. 200, IRVINE, CA 92618-2125
(310) 659-6333
(310) 659-2333
Mailing address
15825 LAGUNA CANYON RD STE 200, IRVINE, CA 92618-2127
(949) 341-3499
(949) 788-0556
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
07/30/2006
Last updated
02/08/2023
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