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Organization

PACIFIC COAST MULTI SPECIALTY SURGERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRENDAN BAKIR (CEO)
(310) 748-8800
Entity
Organization

Contact information

Practice address
10900 WARNER AVE STE 101A, FOUNTAIN VALLEY, CA 92708-3846
(949) 528-1123
Mailing address
10900 WARNER AVE STE 101A, FOUNTAIN VALLEY, CA 92708-3846
(949) 528-1123

Taxonomy

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

Other

Enumeration date
04/11/2024
Last updated
04/11/2024
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