Healthcare Provider Details

I. General information

NPI: 1831730209
Provider Name (Legal Business Name): POST SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2019
Last Update Date: 02/05/2020
Certification Date: 02/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 POST
IRVINE CA
92618-5223
US

IV. Provider business mailing address

4 CORPORATE PLAZA DR STE 150
NEWPORT BEACH CA
92660-7936
US

V. Phone/Fax

Practice location:
  • Phone: 949-678-1109
  • Fax:
Mailing address:
  • Phone: 949-933-6000
  • 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: NELSON GEORGE MAMEY
Title or Position: MANAGER
Credential:
Phone: 949-933-6000