MESA SURGICENTER NPI 1053463984

NPI Information

  • NPI: 1053463984
  • Provider Name: MESA SURGICENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 100 E VALENCIA MESA DR # 303
    FULLERTON, CA
    ZIP 92835
  • Phone: (714) 738-4282

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NPI Details

MESA SURGICENTER is an ambulatory surgical clinic center in Fullerton, CA. MESA SURGICENTER NPI is 1053463984. The provider is registered as an organization entity type.

The provider's business location address is:

100 E VALENCIA MESA DR # 303
FULLERTON, CA
ZIP 92835-813
Phone: (714) 738-4282

The provider's authorized official is Robert Martin Wald .
The authorized official title is Physician and has the following contact phone number (714) 738-4282.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/22/2020.

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
1261QA1903XClinic/CenterAmbulatory SurgicalCALIFORNIAYes

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: 3/30/2025

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