South Coast Outpatient Surg Ctr Balboa Surgery Center

  • 1053545905 NPI Number
  • |
  • Actived: 11 years ago
  • |
According to our database, the NPI number for South Coast Outpatient Surg Ctr Balboa Surgery Center is 1053545905 and activated since 11 years ago. South Coast Outpatient Surg Ctr Balboa Surgery Center is an Organization provider specializes in Ambulatory Surgical. The provider information was last updated on 10/30/2018.

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Overview of South Coast Outpatient Surg Ctr Balboa Surgery Center

  • NPI number: 1457978207
  • Provider type: Organization
  • Active since: 05/06/2009
  • Last updated: 10/30/2018

Primary Scrop of Practice

  • Taxonomy Code: 261QA1903X
  • Specialty: Ambulatory Surgical
  • License Number: unknow
  • License State: CA

Provider Mailing Address

  • Address: 1101 Bayside Dr Ste 100
    Corona Del Mar, CA 92625
  • Phone: 949-718-6900
  • Fax:

Provider Practice Location

  • Address: 1101 Bayside Dr
    Suite 101
    Corona Del Mar, CA 92625
  • Phone: 949-718-6900
  • Fax: 949-718-9367

Authorized Official

  • Name: DR. Michael Wayne Niccole M.D.
  • Position/Title: Medical Director
  • Telephone Number: 310-792-3914

Scope of Practice

  • Taxonomy Code: 261QA1903X
  • Specialty: Ambulatory Surgical
  • License Number:
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: F1929
  • Identifier Type: Other
  • Identifier State: CA
  • Issuer: PTAN

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for South Coast Outpatient Surg Ctr Balboa Surgery Center?
  • A: The npi number for South Coast Outpatient Surg Ctr Balboa Surgery Center is 1053545905.
  • Q: What are South Coast Outpatient Surg Ctr Balboa Surgery Center's specialties?
  • A: South Coast Outpatient Surg Ctr Balboa Surgery Center's specialties are Ambulatory Surgical and different specialities.
  • Q: Where is South Coast Outpatient Surg Ctr Balboa Surgery Center business practice location?
  • A: South Coast Outpatient Surg Ctr Balboa Surgery Center business practice location is 1101 Bayside Dr, Corona Del Mar, CA 92625.
  • Q: How to contact South Coast Outpatient Surg Ctr Balboa Surgery Center?
  • A: You can contact South Coast Outpatient Surg Ctr Balboa Surgery Center via 949-718-6900.
  • Q: What is the authorized official for South Coast Outpatient Surg Ctr Balboa Surgery Center?
  • A: The authorized office name is DR. Michael Wayne Niccole M.D. with position/title is Medical Director and you can reach the authorized official via phone number 3107923914.