Healthcare Provider Details

I. General information

NPI: 1932277886
Provider Name (Legal Business Name): HUNTINGTON SURGERY CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 04/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7801 CENTER AVE SUITE 102
HUNTINGTON BEACH CA
92647-9110
US

IV. Provider business mailing address

7801 CENTER AVE SUITE 102
HUNTINGTON BEACH CA
92647-9110
US

V. Phone/Fax

Practice location:
  • Phone: 714-230-2400
  • Fax:
Mailing address:
  • Phone: 714-230-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number060000939
License Number StateCA

VIII. Authorized Official

Name: DR. PETER NEWEN
Title or Position: DIRECTOR
Credential: M.D.
Phone: 714-230-2400