Organization
PEGASUS SURGERY CENTER LLC
Active
Other names
Pegasus Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL TASSOS CPA (CFO)
(661) 965-5020
Entity
Organization
Contact information
Practice address
20162 SW BIRCH ST STE 100, NEWPORT BEACH, CA 92660-0797
(949) 508-1198
(949) 449-8564
Mailing address
13071 SOLINDA, TUSTIN, CA 92782-8709
(661) 965-5020
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
12/08/2021
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