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
Fax: (949) 583-9148
Website:
Authorized official contact:
Name: Wallace, William Campbell Doctor of Medicine (MD)

Health care specialties

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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407860844 NPPES
California Other W1079 MEDICARE PTAN

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