PROVIDENCE SPECIALTY SURGERY CENTER LLC

ORANGE, CA
NPI1861180671
Entity TypeOrganization
Authorized ContactJAMSHID SHADJAREH
Chairman, Governing Body
714-204-0444
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2023-04-28
Last Update Date2023-04-28
Business Address
PROVIDENCE SPECIALTY SURGERY CENTER LLC
1310 W STEWART DR STE 310
ORANGE, CA 92868-3838
Phone number: 714-204-0444
Mailing Address
PROVIDENCE SPECIALTY SURGERY CENTER LLC
1310 W STEWART DR STE 310
ORANGE, CA 92868-3838
Phone number: 714-204-0444