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Costa Mesa Surgery Center INC

Surgery in Costa Mesa, CA. Organization (NPI-2).

NPI number1982183299
StatusActive
Last updated in NPPESAug 8, 2018

Details

NPI
1982183299
Entity type
Organization (NPI-2)
Legal business name
Costa Mesa Surgery Center INC
Organization subpart
No
Enumeration date
Aug 8, 2018
Last updated
Aug 8, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Practice location

720 Paularino Ave Ste 100
Costa Mesa, CA 92626-6917

Phone 213-383-4800

Mailing address

3680 Wilshire Blvd Ste 206
Los Angeles, CA 90010-2714

Phone 213-383-4800

Authorized official

Peter G Lee
Owner
2133834800

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