Reagan Street Surgery Center, LLC
NPI #1447213954 in Los Alamitos, California
Provider Information
- NPI Number
- 1447213954
- Entity Type
- Organization
- Organization Name
- Reagan Street Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Apr 7, 2006
- Last Updated
- Oct 11, 2024
Practice Location
- Address
- 10904 REAGAN ST
- City
- Los Alamitos
- State
- California
- ZIP Code
- 90720-2435
- Phone
- (562) 596-3140
Authorized Official
- Name
- ERIC BOON
- Title
- OFFICER/AUTHORIZED OFFICIAL
- Phone
- (480) 567-0269
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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