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General NPI Number Information
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NPI Number | 1922182245
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Entity Type | Organization
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Legal Business Name | BARRANCA MULTISPECIALTY SURGERY CENTER, INC.
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 3500 BARRANCA PKWY STE. 130
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City | IRVINE
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State | CA
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Zip | 92606-8226
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Country | US
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Telephone | 949-552-6266
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Fax |
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Provider Business Mailing Address
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Address Line | 11999 SAN VICENTE BLVD STE. 440
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City | LOS ANGELES
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State | CA
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Zip | 90049-5131
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Country | US
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Telephone | 310-440-3131
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT BELTRAN
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Credential | M.D.
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Telephone | 310-440-3131
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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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