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SADDLEBACK PAIN AND SURGICAL CENTER NPI 1578160636


NPI Information

NPI: 1578160636
Provider Name: SADDLEBACK PAIN AND SURGICAL CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1086139

Address:
23521 PASEO DE VALENCIA STE 204
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 458-2026
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SADDLEBACK PAIN AND SURGICAL CENTER is an ambulatory surgical clinic center in Laguna Hills, CA. SADDLEBACK PAIN AND SURGICAL CENTER NPI is 1578160636. The provider is registered as an organization entity type.

The provider's business location address is:

23521 PASEO DE VALENCIA STE 204
LAGUNA HILLS, CA
ZIP 92653-101
Phone: (949) 458-2026
Fax: (949) 273-8053

The provider's authorized official is Andrew Hany Messiha .
The authorized official title is Manager and has the following contact phone number (626) 922-7100.

The CLIA number assigned to this NPI record is 05D1086139 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2020 and was last updated on 7/14/2021.


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 SurgicalYes

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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