Healthcare Provider Details

I. General information

NPI: 1033734728
Provider Name (Legal Business Name): ORANGE COUNTY SURGICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2020
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 REYNOLDS AVE STE 109
IRVINE CA
92614-5559
US

IV. Provider business mailing address

1400 REYNOLDS AVE STE 109
IRVINE CA
92614-5559
US

V. Phone/Fax

Practice location:
  • Phone: 949-390-9000
  • Fax:
Mailing address:
  • Phone: 949-390-9000
  • 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: JOHN J. HEWETT
Title or Position: PRESIDENT
Credential: MD
Phone: 949-390-9000