Organization
ADVANCED SURGICAL CARE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS SANGWON LEE MD (OWNER)
(714) 537-7766
Entity
Organization
Contact information
Practice address
12555 GARDEN GROVE BLVD, 303, GARDEN GROVE, CA 92843-1902
(714) 537-7766
Mailing address
12555 GARDEN GROVE BLVD, 303, GARDEN GROVE, CA 92843-1902
(714) 537-7766
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A642450
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A642450
—
CA
Enumeration date
05/14/2007
Last updated
11/14/2011
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