Organization
ORANGEWOOD SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVARO LICEAGA MD (MEDICAL DIRECTOR)
(714) 221-4236
Entity
Organization
Contact information
Practice address
2143 W ORANGEWOOD AVE, ORANGE, CA 92868-1941
(714) 221-4236
Mailing address
2143 ORANGEWOOD AVE, ORANGE, CA 90051
(714) 221-4236
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2008
Last updated
01/28/2009
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