Healthcare Provider Details

I. General information

NPI: 1275638413
Provider Name (Legal Business Name): ALLIANCE SURGERY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 IMPERIAL HIGHWAY SUITE 200B
FULLERTON CA
92835-1020
US

IV. Provider business mailing address

PO BOX 628760
ORLANDO FL
32862-8760
US

V. Phone/Fax

Practice location:
  • Phone: 714-872-5372
  • Fax: 714-872-5379
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA HELMS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 813-549-2134