ORANGE ASC LLC NPI 1780059014

NPI Information

NPI: 1780059014
Provider Name: ORANGE ASC, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2113086

Address:
1310 W STEWART DR STE 310
ORANGE, CA
ZIP 92868
Phone: (626) 269-5311
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ORANGE ASC, LLC is an ambulatory surgical clinic center in Orange, CA. ORANGE ASC, LLC NPI is 1780059014. The provider is registered as an organization entity type.

The provider's business location address is:

1310 W STEWART DR STE 310
ORANGE, CA
ZIP 92868-838
Phone: (626) 269-5311
Fax: (626) 574-7188

The provider's authorized official is Tom S Chang .
The authorized official title is Ceo and has the following contact phone number (626) 676-0838.

The CLIA number assigned to this NPI record is 05D2113086 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2015 and was last updated on 12/11/2015.

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			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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