IMPERIAL SURGICAL CENTRE LLC NPI 1730452087

NPI Information

  • NPI: 1730452087
  • Provider Name: IMPERIAL SURGICAL CENTRE LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 295 IMPERIAL HWY
    FULLERTON, CA
    ZIP 92835
  • Phone: (714) 770-8300

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NPI Details

IMPERIAL SURGICAL CENTRE LLC is an ambulatory surgical clinic center in Fullerton, CA. IMPERIAL SURGICAL CENTRE LLC NPI is 1730452087. The provider is registered as an organization entity type.

The provider's business location address is:

295 IMPERIAL HWY
FULLERTON, CA
ZIP 92835-020
Phone: (714) 770-8300

The provider's authorized official is Alvaro Liceaga .
The authorized official title is Medical Director and has the following contact phone number (714) 770-8300.

The enumeration date for this NPI number is 2/17/2012 and was last updated on 2/17/2012.

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: 3/30/2025

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