PACIFIC SHORE SURGERY CENTER
NPI 1497046064
Clinic/Center - Ambulatory Surgical in Orange, CA
- Organization
- Clinic/Center
- Ambulatory Surgical
About PACIFIC SHORE SURGERY CENTER
This page provides the complete NPI Profile along with additional information for Pacific Shore Surgery Center, a provider established in Orange, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1497046064 assigned on April 2011. The practitioner's primary taxonomy code is 261QA1903X with license number 425960 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Frank Bernard Giacobetti M.d. (Ceo)
- NPI
- 1497046064 Verify this NPI
- Provider Name
- PACIFIC SHORE SURGERY CENTER
- Entity Type
- Organization
- Location Address
- 302 W. LAVETA AVE SUITE 100 ORANGE, CA 92866
- Location Phone
- (714) 516-2605
- Location Fax
- (714) 285-0018
- Mailing Address
- 902 N GRAND AVE SUITE 200 SANTA ANA, CA 92701
- Mailing Phone
- (714) 285-0014
- Mailing Fax
- (714) 285-0018
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-29-2011
- Last Update Date
- 04-29-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 425960
- License State
- CA
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497046064, enumerated as an "organization" on April 29, 2011.
The provider is located at 302 W. LAVETA AVE SUITE 100 ORANGE, CA 92866 and the phone number is (714) 516-2605.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
