Provider Demographics
NPI:1245575919
Name:MEMORIALCARE SURGICAL CENTER AT SADDLEBACK LLC
Entity Type:Organization
Organization Name:MEMORIALCARE SURGICAL CENTER AT SADDLEBACK LLC
Other - Org Name:MEMORIALCARE SURGICAL CENTER LAGUNA WOODS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ENGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-458-5600
Mailing Address - Street 1:24331 EL TORO RD STE 150
Mailing Address - Street 2:
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-8818
Mailing Address - Country:US
Mailing Address - Phone:949-855-0562
Mailing Address - Fax:949-855-0564
Practice Address - Street 1:24331 EL TORO RD STE 150
Practice Address - Street 2:
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-8818
Practice Address - Country:US
Practice Address - Phone:949-855-0562
Practice Address - Fax:949-855-0564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-06
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical