Organization
TIME SURGICAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E KRUGMAN M.D. (PRESIDENT)
(714) 972-1811
Entity
Organization
Contact information
Practice address
720 N TUSTIN AVE, SUITE 205, SANTA ANA, CA 92705-3606
(714) 972-1811
(714) 972-0986
Mailing address
720 N TUSTIN AVE, SUITE 205, SANTA ANA, CA 92705-3606
(714) 972-1811
(714) 972-0986
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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