MEDICARE: FLOWER SURGERY CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1912245564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOWER SURGERY CENTER, INC.

Provider Business Mailing Address
First Line	:	817 W 17TH ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92706-3624
Country	:	US
Telephone Number	:	714-360-0040
Fax Number	:	657-210-3181

Provider Business Practice Location Address
First Line	:	817 W 17TH ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92706-3624
Country	:	US
Telephone Number	:	714-360-0040
Fax Number	:	657-210-3181

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DOUGLAS TRAN
Credential	:	MD
Telephone Number	:	714-360-0040

Provider Enumeration Date	:	01/16/2013
Last Update Date	:	01/16/2013

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