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General NPI Number Information
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NPI Number | 1083886394
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Entity Type | Organization
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Legal Business Name | CALIFORNIA SURGICAL INSTITUTE
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 03/26/2008
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Provider Practice Location Address
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Address Line | 910 E BIRCH ST SUITE 350
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City | BREA
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State | CA
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Zip | 92821-5800
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Country | US
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Telephone | 714-990-9012
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Fax | 714-990-9015
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Provider Business Mailing Address
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Address Line | 910 E BIRCH ST SUITE 350
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City | BREA
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State | CA
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Zip | 92821-5800
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Country | US
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Telephone | 714-990-9012
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Fax | 714-990-9015
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Authorized Official
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Title or Position | SITE DIRECTOR
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Name | MR. JAVIER ERIVES
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Credential |
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Telephone | 866-372-3288
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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 | A75774
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License Number State | CA
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