South Coast Outpatient Surg Ctr Balboa Surgery Center
South Coast Outpatient Surg Ctr Balboa Surgery Center is an Ambulatory Surgical Clinic/Center in Corona del Mar, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
1101 Bayside Dr Ste 101Corona del Mar, CA 92625-1702
Phone: (949) 718-6900
Fax: (949) 718-9367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X (CA) |
|---|
Record details
| NPI number | 1053545905 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Niccole — Medical Director · (310) 792-3914 |
| Other names | South Coast Outpatient Surgery Center |
| NPI enumerated | May 6, 2009 |
| Last updated in NPPES | October 30, 2018 |
| Mailing address | 1101 Bayside Dr Ste 100, Corona Del Mar, CA 92625-1754 |
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