Organization
WATERWORKS SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC LIN MD (PHYSICIAN MEMBER)
(714) 660-3803
Entity
Organization
Contact information
Practice address
113 WATERWORKS WAY STE 225, IRVINE, CA 92618-3175
(949) 340-9622
Mailing address
113 WATERWORKS WAY STE 225, IRVINE, CA 92618-3175
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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