Provider Demographics
NPI:1366864670
Name:FAMILY SURGERY CENTER, INC.
Entity Type:Organization
Organization Name:FAMILY SURGERY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:UYEN
Authorized Official - Middle Name:N
Authorized Official - Last Name:HGANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-603-8333
Mailing Address - Street 1:8342 GARDEN GROVE BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-1103
Mailing Address - Country:US
Mailing Address - Phone:323-603-8333
Mailing Address - Fax:310-287-0982
Practice Address - Street 1:8342 GARDEN GROVE BLVD
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-1103
Practice Address - Country:US
Practice Address - Phone:323-603-8333
Practice Address - Fax:310-287-0982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical