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General NPI Number Information
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NPI Number | 1053852236
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Entity Type | Organization
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Legal Business Name | SURGERY CENTER OF ANAHEIM HILLS LLC
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 500 S ANAHEIM HILLS RD SUITE 128
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City | ANAHEIM
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State | CA
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Zip | 92807-4780
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Country | US
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Telephone | 714-533-2020
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Fax | 714-533-9920
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Provider Business Mailing Address
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Address Line | 500 S ANAHEIM HILLS RD SUITE 128
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City | ANAHEIM
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State | CA
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Zip | 92807-4780
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Country | US
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Telephone | 714-533-2020
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Fax | 714-533-9920
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMAD NEAL
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Credential |
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Telephone | 714-790-3463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | A91820
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License Number State | CA
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