MANCHESTER SURGICAL PAVILLION NPI 1093843120

NPI Information

NPI: 1093843120
Provider Name: MANCHESTER SURGICAL PAVILLION
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
200 S MANCHESTER AVE
SUITE 650
ORANGE, CA
ZIP 92868
Phone: (310) 202-6204
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MANCHESTER SURGICAL PAVILLION is an ambulatory surgical clinic center in Orange, CA. MANCHESTER SURGICAL PAVILLION NPI is 1093843120. The provider is registered as an organization entity type.

The provider's business location address is:

200 S MANCHESTER AVE
SUITE 650
ORANGE, CA
ZIP 92868-217
Phone: (310) 202-6204
Fax: (310) 202-0831

The provider's authorized official is Gregory Evans .
The authorized official title is Chair and has the following contact phone number (714) 456-3228.

The enumeration date for this NPI number is 3/1/2007 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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	=========	CALIFORNIA	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: 11/14/2023

NPI Synchronization or Removal

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