Healthcare Provider Details

I. General information

NPI: 1497749667
Provider Name (Legal Business Name): CALIFORNIA SPECIALTY SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2005
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26371 CROWN VALLEY PKWY
MISSION VIEJO CA
92691-6368
US

IV. Provider business mailing address

26371 CROWN VALLEY PKWY
MISSION VIEJO CA
92691-6368
US

V. Phone/Fax

Practice location:
  • Phone: 949-348-0544
  • Fax: 949-348-1278
Mailing address:
  • Phone: 949-348-0544
  • Fax: 949-348-1278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number060000798
License Number StateCA

VIII. Authorized Official

Name: STEPHEN LEONARD TOCCI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 949-784-9791