Organization
SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP, INC.
Active
Other names
OC Surgeons Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CAMPBELL WALLACE MD (CEO)
(949) 457-7900
Entity
Organization
Contact information
Practice address
24411 HEALTH CENTER DR, SUITE 350, LAGUNA HILLS, CA 92653-3651
(949) 457-7900
(949) 583-9148
Mailing address
24411 HEALTH CENTER DR STE 350, LAGUNA HILLS, CA 92653-3687
(949) 457-7900
(949) 583-9148
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W1079
MEDICARE PTAN
CA
Enumeration date
07/29/2006
Last updated
10/06/2025
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