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General NPI Number Information
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NPI Number | 1780059014
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Entity Type | Organization
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Legal Business Name | ORANGE ASC, LLC
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Dates
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Enumeration Date | 12/11/2015
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 1403 N TUSTIN AVE STE 100
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City | SANTA ANA
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State | CA
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Zip | 92705-8691
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Country | US
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Telephone | 626-269-5311
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Fax | 626-574-7188
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Provider Business Mailing Address
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Address Line | 100 E CALIFORNIA BLVD
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City | PASADENA
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State | CA
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Zip | 91105-3205
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Country | US
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Telephone | 626-269-5311
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Fax | 626-574-7188
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Authorized Official
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Title or Position | CEO
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Name | DR. TOM S CHANG
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Credential | M.D.
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Telephone | 626-676-0838
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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 |
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