| Organization Name: | AMERICAN SURGICAL CENTER-OC |
| NPI Number: | 1003157835 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAHER ALI ABDALLAH (MEDICAL DIRECTOR/OWNER) |
| Mailing Address: | 1640 Newport Blvd Suite 150 Costa Mesa |
| State: | CA US |
| Postal Code: | 926273786 |
| Phone Number: | 9493093330 |
| Fax Number: | 9493092578 |
| NPI Enumeration Date: | 03/04/2013 |
| NPI Last Update Date: | 03/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | A97415 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |