Organization
MOSAIC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE T. VU M.D. (OWNER)
(714) 848-1133
Entity
Organization
Contact information
Practice address
17742 BEACH BLVD, STE. #335, HUNTINGTON BEACH, CA 92647-6818
(714) 848-1133
(714) 848-4114
Mailing address
17742 BEACH BLVD, STE. #335, HUNTINGTON BEACH, CA 92647-6818
(714) 848-1133
(714) 848-4114
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A64785
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043264534
PROFESSIONAL CORP NPI #
CA
01
—
1225081953
PROFESSION INDIVID NPI #
CA
01
—
WA64785B
MCARE PROF INDIVID PIN #
CA
Enumeration date
02/14/2008
Last updated
10/20/2009
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