Healthcare Provider Details

I. General information

NPI: 1790613107
Provider Name (Legal Business Name): ELITE SURGERY CENTER OF ORANGE COUNTY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 N TUSTIN AVE STE 105
SANTA ANA CA
92705-6501
US

IV. Provider business mailing address

999 N TUSTIN AVE STE 105
SANTA ANA CA
92705-6501
US

V. Phone/Fax

Practice location:
  • Phone: 949-566-8688
  • Fax:
Mailing address:
  • Phone:
  • 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: DR. JAMES A. KIM
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 949-566-8688