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Organization

ORANGE COAST SURGICAL CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRADLEY PIERCE MUDGE M.D. (MEDICAL DIRECTOR)
(949) 644-2450
Entity
Organization

Contact information

Practice address
240 NEWPORT CENTER DR, # 105, NEWPORT BEACH, CA 92660-7512
(949) 644-2450
(949) 644-2451
Mailing address
240 NEWPORT CENTER DR, # 105, NEWPORT BEACH, CA 92660-7512
(949) 644-2450
(949) 644-2451

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
06/25/2006
Last updated
06/15/2010
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