Organization
ORANGE PARTNERS SURGICENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL GHODADRA MD (MEDICAL DIRECTOR)
(678) 596-1344
Entity
Organization
Contact information
Practice address
438 E KATELLA AVE STE D, ORANGE, CA 92867-4857
(310) 508-4073
Mailing address
438 E KATELLA AVE STE D, ORANGE, CA 92867-4857
(310) 508-4073
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
116163
CA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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