Healthcare Provider Details

I. General information

NPI: 1558032706
Provider Name (Legal Business Name): HOPE AMBULATORY SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2021
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 ODYSSEY STE 165
IRVINE CA
92618-3194
US

IV. Provider business mailing address

5 HOLLAND SUITE 101
IRVINE CA
92618-2568
US

V. Phone/Fax

Practice location:
  • Phone: 949-872-2632
  • Fax:
Mailing address:
  • Phone: 949-588-2190
  • Fax: 949-588-2199

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: HASSAN BADDAY
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 949-588-2190