SOUTH COAST SURGICAL CARE INC. NPI 1184950073

NPI Information

NPI: 1184950073
Provider Name: SOUTH COAST SURGICAL CARE, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2123912

Address:
3420 BRISTOL ST
SUITE 750
COSTA MESA, CA
ZIP 92626
Phone: (714) 432-1438
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SOUTH COAST SURGICAL CARE, INC. is an ambulatory surgical clinic center in Costa Mesa, CA. SOUTH COAST SURGICAL CARE, INC. NPI is 1184950073. The provider is registered as an organization entity type.

The provider's business location address is:

3420 BRISTOL ST
SUITE 750
COSTA MESA, CA
ZIP 92626-170
Phone: (714) 432-1438
Fax: (714) 459-8280

The provider's authorized official is Lorenza Valdivias .
The authorized official title is Administrator and has the following contact phone number (714) 432-1438.

The CLIA number assigned to this NPI record is 05D2123912 - other - dtx/res-sud treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2009 and was last updated on 10/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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