South Orange County Surgical Medical Group, Inc.
LBN: South Orange County Surgical Medical Group, Inc.
South Orange County Surgical Medical Group, Inc. is an health care organization with primary practice located at 24411 Health Center Dr Suite 350, Laguna Hills CA 92653-3651. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
South Orange County Surgical Medical Group, Inc. can be contacted via phone (949) 457-7900, or through Wallace, William Campbell via phone (949) 457-7900.
Contact Information
Primary practice address
24411 Health Center Dr Suite 350
Laguna Hills CA 92653-3651
Phone: (949) 457-7900
Fax: (949) 583-9148
Website:
Authorized official contact:
Name: Wallace, William Campbell Doctor of Medicine (MD)
Phone: (949) 457-7900
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X |
Profile Details
NPI number | 1407860844 |
---|---|
LBN Legal business name | South Orange County Surgical Medical Group, Inc. |
DBA Doing business as | |
Authorized official | Wallace, William Campbell Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 29th, 2006 |
Last updated | Oct 21st, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407860844 | NPPES |
California | Other | W1079 | MEDICARE PTAN |
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