Healthcare Provider Details

I. General information

NPI: 1841726080
Provider Name (Legal Business Name): OC SURGICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2017
Last Update Date: 05/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 NEWMAN AVE SUITE D
HUNTINGTON BEACH CA
92647-7042
US

IV. Provider business mailing address

8101 NEWMAN AVE SUITE D
HUNTINGTON BEACH CA
92647-7042
US

V. Phone/Fax

Practice location:
  • Phone: 714-545-5200
  • Fax: 714-375-7933
Mailing address:
  • Phone: 714-545-5200
  • Fax: 714-375-7933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: YASSER H SALEM
Title or Position: CEO
Credential: M.D
Phone: 714-874-4440