Canyon Specialty Surgery Center LLC
NPI #1154805240 in Anaheim, California
Provider Information
- NPI Number
- 1154805240
- Entity Type
- Organization
- Organization Name
- Canyon Specialty Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Sep 24, 2018
- Last Updated
- Sep 24, 2018
Practice Location
- Address
- 145 S CHAPARRAL CT STE 101
- City
- Anaheim
- State
- California
- ZIP Code
- 92808-2265
- Phone
- (714) 462-3005
Authorized Official
- Name
- MR. JAMSHID SHADJAREH, RN
- Title
- CHAIRMAN, GOVERNING BODY
- Phone
- (714) 462-3005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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