ADVANCE OC SURGICAL INC.


Address: 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704
Phone: 7145570777

ADVANCE OC SURGICAL INC. (NPI# 1427577907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427577907
Entity Type Organization
Organization Name ADVANCE OC SURGICAL INC.
Practice Address 3500 S. Bristol St.
Suite 200
Santa Ana
CA 92704
Practice Telephone 7145570777
Practice Fax Number 7145570709
Mailing Telephone 7145570777
Mailing Fax Number 7145570709
Enumeration Date 2017-09-15
Last Update Date 2017-09-15
Authorized Official Name MR. TIMOTHY OMID ROHAM (CEO)
Authorized Official Telephone 9492127133
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 3500 S. BRISTOL ST.
SUITE 200
City SANTA ANA
State CA
Zip Code 92704

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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Competitor

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City SANTA ANA
Zip Code 92704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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