THE SURGERY CENTER ON SAND CANYON SHADY CANYON EXIT NPI 1851695860

NPI Information

  • NPI: 1851695860
  • Provider Name: THE SURGERY CENTER ON SAND CANYON SHADY CANYON EXIT
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Former Legal Business Name: THE SURGERY CENTER ON SAND CANYON SHADY CANYON EXIT
  • Address: 16300 SAND CANYON AVE
    SUITE 901
    IRVINE, CA
    ZIP 92618
  • Phone: (949) 677-9695

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NPI Details

THE SURGERY CENTER ON SAND CANYON SHADY CANYON EXIT is an ambulatory surgical clinic center in Irvine, CA. THE SURGERY CENTER ON SAND CANYON SHADY CANYON EXIT NPI is 1851695860. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is The Surgery Center On Sand Canyon Shady Canyon Exit.

The provider's business location address is:

16300 SAND CANYON AVE
SUITE 901
IRVINE, CA
ZIP 92618-711
Phone: (949) 677-9695
Fax: (949) 453-8601

The provider's authorized official is Albert Beomjin Chang .
The authorized official title is Medical Director and has the following contact phone number (949) 585-9870.

The enumeration date for this NPI number is 1/5/2011 and was last updated on 1/5/2011.

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?

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This page was last updated on: 3/30/2025

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