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1770925893
BASIC IRVINE ASC, INC.
IRVINE, CA
NPI
1770925893
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Entity Type
Organization
Authorized Contact
GOWRIHARAN THAIYANANTHAN
Owner
949-556-4800
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2013-07-18
Last Update Date
2016-02-09
Business Address
BASIC IRVINE ASC, INC.
18 ENDEAVOR 103
IRVINE, CA 92618-3164
Phone number: 949-556-4800
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Mailing Address
BASIC IRVINE ASC, INC.
18 ENDEAVOR 103
IRVINE, CA 92618-3164
Phone number: 949-556-4800
Copy
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