Provider Demographics
NPI:1689175101
Name:CALIFORNIA SURGICAL P. C.
Entity Type:Organization
Organization Name:CALIFORNIA SURGICAL P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:149-077-4587
Mailing Address - Street 1:18080 BEACH BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1343
Mailing Address - Country:US
Mailing Address - Phone:714-848-5555
Mailing Address - Fax:888-977-3286
Practice Address - Street 1:18080 BEACH BLVD STE 101
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1343
Practice Address - Country:US
Practice Address - Phone:714-848-5555
Practice Address - Fax:888-977-3286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-21
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1689175101OtherNPI