Organization
PACIFIC SHORE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK BERNARD GIACOBETTI M.D. (CEO)
(714) 285-0014
Entity
Organization
Contact information
Practice address
302 W. LAVETA AVE, SUITE 100, ORANGE, CA 92866
(714) 516-2605
(714) 285-0018
Mailing address
902 N GRAND AVE, SUITE 200, SANTA ANA, CA 92701-4218
(714) 285-0014
(714) 285-0018
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
425960
CA
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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