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CHILDREN'S SURGICAL ASSOCIATES A MEDICAL CORPORATION NPI 1699777664


NPI Information

NPI: 1699777664
Provider Name: CHILDREN'S SURGICAL ASSOCIATES, A MEDICAL CORPORATION
Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
1120 W LA VETA AVE
STE. 100
ORANGE, CA
ZIP 92868
Phone: (714) 571-5000
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CHILDREN'S SURGICAL ASSOCIATES, A MEDICAL CORPORATION is a pediatric surgery surgery in Orange, CA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. CHILDREN'S SURGICAL ASSOCIATES, A MEDICAL CORPORATION NPI is 1699777664. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1120 W LA VETA AVE
STE. 100
ORANGE, CA
ZIP 92868-231
Phone: (714) 571-5000
Fax: (714) 571-5055

The provider's authorized official is John German .
The authorized official title is President and has the following contact phone number (714) 289-4704.

The enumeration date for this NPI number is 8/10/2005 and was last updated on 7/26/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0120XSurgeryPediatric SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ46292ZOTHERCALIFORNIABLUE SHIELD OF CA
2GR0064800MEDICAIDCALIFORNIA
3W14120MEDICARE ID-TYPE UNSPECIFIED

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

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