MAIN STREET SPECIALTY SURGERY CENTER LLC NPI 1225275688

NPI Information

MAIN STREET SPECIALTY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Orange, CA. MAIN STREET SPECIALTY SURGERY CENTER, LLC NPI is 1225275688. The provider is registered as an organization entity type.

The provider's business location address is:

280 S MAIN ST STE 100
ORANGE, CA
ZIP 92868-852
Phone: (714) 704-1900
Fax: (714) 704-1912

The provider's authorized official is Carlos Prietto .
The authorized official title is Chairperson and has the following contact phone number (714) 704-1900.

The CLIA number assigned to this NPI record is 05D1002085 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2009 and was last updated on 1/7/2009.

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:

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