Organization
PCSCLLC
Active
Other names
pacific coast surgery center
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN DRAKE (ADMINISTRATOR)
(949) 478-8000
Entity
Organization
Contact information
Practice address
1640 NEWPORT BLVD, SUITE 260, COSTA MESA, CA 92627-3786
(949) 478-8000
(949) 478-8040
Mailing address
1640 NEWPORT BLVD, SUITE 100, COSTA MESA, CA 92627-3786
(949) 478-8000
(949) 478-8040
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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