Organization
PACIFIC SURGICAL ASSOCIATES, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY W CALVERT M.D. (OWNER)
(805) 581-5575
Entity
Organization
Contact information
Practice address
2216 NEWPORT BLVD, COSTA MESA, CA 92627-1711
(805) 581-5575
(949) 258-5984
Mailing address
PO BOX 940358, SIMI VALLEY, CA 93094-0358
(805) 581-5575
(949) 258-5984
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/22/2009
Last updated
08/17/2009
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