Organization
OSO SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMID REZA FADAVI DO (CHAIRMAN, GOVERNING BODY)
(949) 916-8100
Entity
Organization
Contact information
Practice address
26932 OSO PKWY STE 277, MISSION VIEJO, CA 92691-5815
(949) 916-8100
Mailing address
26932 OSO PKWY STE 277, MISSION VIEJO, CA 92691-5815
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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