Healthcare Provider Details

I. General information

NPI: 1508662743
Provider Name (Legal Business Name): ALPHA ORANGE COUNTY SURGERY CENTER PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 E 1ST ST STE 210
SANTA ANA CA
92705-4080
US

IV. Provider business mailing address

3334 E COAST HWY # 501
CORONA DEL MAR CA
92625-2328
US

V. Phone/Fax

Practice location:
  • Phone: 949-337-3267
  • Fax:
Mailing address:
  • Phone: 949-337-3267
  • 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: MS. LUANA FARRAR
Title or Position: ACCREDITATION COORDINATOR
Credential:
Phone: 949-337-3267