Provider Demographics
NPI:1841726080
Name:OC SURGICAL ASSOCIATES
Entity type:Organization
Organization Name:OC SURGICAL ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YASSER
Authorized Official - Middle Name:H
Authorized Official - Last Name:SALEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-874-4440
Mailing Address - Street 1:8101 NEWMAN AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-7042
Mailing Address - Country:US
Mailing Address - Phone:714-545-5200
Mailing Address - Fax:714-375-7933
Practice Address - Street 1:8101 NEWMAN AVE
Practice Address - Street 2:SUITE D
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-7042
Practice Address - Country:US
Practice Address - Phone:714-545-5200
Practice Address - Fax:714-375-7933
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YASSER H SALEM MD INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-09
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty