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Organization

ORANGE COAST SURGERY CENTER

Active
Other names
Orange Coast MRI
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KRISHNA PRASAD SURAPANENI M.D. (OWNER/CEO)
(714) 399-0046
Entity
Organization

Contact information

Practice address
1000 S ANAHEIM BLVD SUITE 300, ANAHEIM, CA 92805-5804
(714) 399-0046
(714) 399-0049
Mailing address
1000 S ANAHEIM BLVD STE 300, ANAHEIM, CA 92805-5804
(714) 399-0046
(714) 399-0049

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A49872
CA

Other

Enumeration date
07/16/2009
Last updated
07/16/2009
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