institution
Irvine Surgical Medical Group Corp
Ambulatory Surgical Clinic/Center in Irvine, California
NPI 1578652152

Irvine Surgical Medical Group Corp is an Ambulatory Surgical Clinic/Center based in Irvine, CA and is specialized in Ambulatory Surgical. Irvine Surgical Medical Group Corp practices in Irvine, CA. The NPI Number for Irvine Surgical Medical Group Corp is 1578652152 and holds a License No. 550000008 (California).

The current practice location address for Irvine Surgical Medical Group Corp is 15825 Laguna Canyon Rd, Irvine, CA and can be reached out via phone at 949-679-6700 and via fax at 949-387-9530.

Location: 15825 Laguna Canyon Rd, Irvine, CA, 92618-2125
institution
Provider Profile Details
NPI Number
1578652152
Provider Name
Irvine Surgical Medical Group Corp
Credential
Provider Entity Type
Organization
Address
15825 Laguna Canyon Rd, Irvine, CA, 92618-2125
Phone Number
949-679-6700
Fax Number
949-387-9530
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
SUR01683F 05 CA
550000008 01 CA DHS STATE LICENSE
05D1025785 01 CA CLIA
institution
Provider Business Practice Location Address Details
Address
15825 Laguna Canyon Rd
City
State
Zip
92618-2125
Phone Number
949-679-6700
Fax Number
949-387-9530
person
Provider Business Mailing Address Details
Address
15825 Laguna Canyon Rd
City
State
Zip
92618-2125
Phone Number
949-679-6700
Fax Number
949-387-9530
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
550000008 (California)
Definition
Definition to come...
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