Organization
MILE SQUARE SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS A. TRAN M.D. (DOCTOR)
(714) 274-0388
Entity
Organization
Contact information
Practice address
10760 WARNER AVENUE, 102, FOUNTAIN VALLEY, CA 92708
(714) 274-0388
(714) 274-0387
Mailing address
10760 WARNER AVENUE, 102, FOUNTAIN VALLEY, CA 92708
(714) 274-0388
(714) 274-0387
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S051526
CA
Other
Enumeration date
06/16/2005
Last updated
12/17/2014
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