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General NPI Number Information
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NPI Number | 1184313587
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Entity Type | Organization
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Legal Business Name | OCEAN SURGICAL INC
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Dates
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Enumeration Date | 05/02/2023
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 1041 E YORBA LINDA BLVD STE 306
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City | PLACENTIA
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State | CA
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Zip | 92870-3751
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Country | US
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Telephone | 657-216-6090
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Fax |
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Provider Business Mailing Address
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Address Line | 900 S MAIN ST STE 109
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City | CORONA
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State | CA
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Zip | 92882-3401
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Country | US
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Telephone | 657-216-6090
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RANDALL CORNATEANU
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Credential | MD
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Telephone | 951-314-3088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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