Organization
MEMORIALCARE SURGICAL CENTER AT SADDLEBACK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE ENGEL (CEO)
(949) 458-5600
Entity
Organization
Contact information
Practice address
24411 HEALTH CENTER DR, SUITE 104, LAGUNA HILLS, CA 92653-3651
(949) 458-5600
(949) 458-5621
Mailing address
24411 HEALTH CENTER DR, SUITE 104, LAGUNA HILLS, CA 92653-3651
(949) 458-5600
(949) 458-5634
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S051846
MEDICARE PTAN
CA
Enumeration date
02/06/2007
Last updated
12/19/2023
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