Organization
THE ADVANCED MUSCULOSKELETAL SURGERY CENTER OF IRVINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOWRIHARAN THAIYANANTHAN MD (PARTNER)
(949) 335-7500
Entity
Organization
Contact information
Practice address
18 ENDEAVOR STE 102, IRVINE, CA 92618-3180
(949) 335-7500
Mailing address
4631 TELLER AVE, NEWPORT BEACH, CA 92660-8105
(949) 335-7500
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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