Organization
VISTA SURGICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KELLY MARIE CONTRERAS LVN (OFFICE MANAGER)
(714) 771-9222
Entity
Organization
Contact information
Practice address
1310 W STEWART DR STE 310, ORANGE, CA 92868-3838
(714) 771-9222
(714) 771-8481
Mailing address
1310 W STEWART DR STE 310, ORANGE, CA 92868-3838
(714) 771-9222
(714) 771-8481
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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