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General NPI Number Information
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NPI Number | 1215338868
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Entity Type | Organization
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Legal Business Name | MEMORIALCARE SURGICAL CENTER AT SADDLEBACK LLC
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 27882 FORBES RD SUITE 203
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1267
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Country | US
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Telephone | 949-347-2400
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Fax | 949-347-2424
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Provider Business Mailing Address
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Address Line | 27882 FORBES RD SUITE 203
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1267
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Country | US
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Telephone | 949-347-2400
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Fax | 949-347-2424
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Authorized Official
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Title or Position | CEO
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Name | LISA MARIE ENGEL
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Credential |
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Telephone | 949-458-5600
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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 |
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License Number State | CA
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