Provider Demographics
NPI:1184981326
Name:REPRODUCTIVE SPECIALTY SURGICAL CENTER , INC
Entity type:Organization
Organization Name:REPRODUCTIVE SPECIALTY SURGICAL CENTER , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-726-0600
Mailing Address - Street 1:15500 SAND CANYON AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-7709
Mailing Address - Country:US
Mailing Address - Phone:949-726-0600
Mailing Address - Fax:949-726-0601
Practice Address - Street 1:15500 SAND CANYON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-7709
Practice Address - Country:US
Practice Address - Phone:949-726-0600
Practice Address - Fax:949-726-0601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical