Organization
ALICIA SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OM P CHAURASIA (MEMBER BOARD OF DIRECTORS)
(949) 900-3480
Entity
Organization
Contact information
Practice address
25211 PASEO DE ALICIA, SUITE 100, LAGUNA HILLS, CA 92653-4614
(949) 900-3480
Mailing address
25211 PASEO DE ALICIA, SUITE 100, LAGUNA HILLS, CA 92653-4614
(949) 900-3480
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2009
Last updated
06/03/2015
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