Irvine Surgical Medical Group Corp in Irvine - Ambulatory Surgical
Irvine Surgical Medical Group Corp - NPI 1578652152
Irvine Surgical Medical Group Corp is a Ambulatory Surgical in Irvine, California. Irvine Surgical Medical Group Corp practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Irvine Surgical Medical Group Corp is 1578652152. The last update date is 2008-05-15.
Irvine Surgical Medical Group Corp's current location address is 15825 Laguna Canyon Rd, Irvine, California. You can contact this provider via phone number 9496796700 and fax number 9493879530. The mailing address for Irvine Surgical Medical Group Corp is 15825 Laguna Canyon Rd, Irvine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Irvine Surgical Medical Group Corp |
|---|---|
| Address | 15825 Laguna Canyon Rd, Irvine, California |
| Phone Number | 9496796700 |
| Fax Number | 9493879530 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF MEDI |
|---|---|
| Authorized Official Name | Babaknia Ardalan |
| Credentials | PHD,M.D. |
| Telephone Number | 9497538844 |
NPI Number Detail
| NPI Number | 1578652152 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2008-05-15 |
Provider Mailing Address Detail
| Address | 15825 Laguna Canyon Rd |
|---|---|
| City | Irvine |
| State | California (CA) |
| Post Code | 926182125 |
| Phone Number | 9496796700 |
| Fax Number | 9493879530 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 550000008 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SUR01683F | CA | -- | |
| 550000008 | CA | DHS STATE LICENSE | |
| 05D1025785 | CA | CLIA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Irvine Surgical Medical Group Corp by the Centers for Medicare & Medicaid Services?
The Irvine Surgical Medical Group Corp has been issued the NPI (National Provider Identifier) 1578652152 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Irvine Surgical Medical Group Corp is located?
The Irvine Surgical Medical Group Corp is situated at the following address: 15825 Laguna Canyon Rd, Irvine, CA, 926182125.
What is Irvine Surgical Medical Group Corp's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Irvine Surgical Medical Group Corp is Ambulatory Surgical, and the taxonomy classification code that categorizes this area of expertise is 261Qa1903X.
When did the Irvine Surgical Medical Group Corp receive its 1578652152?
The Irvine Surgical Medical Group Corp was issued its 1578652152 on 2006-10-12, which is the date when the organization was assigned this unique identifier.
When was the information regarding Irvine Surgical Medical Group Corp, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Irvine Surgical Medical Group Corp, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-15.
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