Healthcare Provider Details

I. General information

NPI: 1396334579
Provider Name (Legal Business Name): RHWC SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2021
Last Update Date: 01/13/2021
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23141 MOULTON PKWY STE 205
LAGUNA HILLS CA
92653-1204
US

IV. Provider business mailing address

23141 MOULTON PKWY STE 204
LAGUNA HILLS CA
92653-1204
US

V. Phone/Fax

Practice location:
  • Phone: 949-516-0606
  • Fax: 949-516-9696
Mailing address:
  • Phone: 949-516-0606
  • Fax: 949-516-9696

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: DR. MARCUS ROSENCRANTZ
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 949-516-0606