South Coast Outpatient Surg Ctr Balboa Surgery Center

  • 1053545905 NPI Number
  • |
  • Actived: 10 years ago
  • |
According to our database, NPI number for South Coast Outpatient Surg Ctr Balboa Surgery Center is 1053545905 and actived since Wednesday, May 6 2009. South Coast Outpatient Surg Ctr Balboa Surgery Center is an Organization provider specializes in Ambulatory Surgical. 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: 1932755626
  • Provider type: Organization
  • Specialty: Ambulatory Surgical
  • 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

What is the npi number?

  • 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.