Provider Demographics
NPI:1427124080
Name:SANTA ANA OUTPATIENT SURGERY CENTER L P
Entity type:Organization
Organization Name:SANTA ANA OUTPATIENT SURGERY CENTER L P
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-543-0020
Mailing Address - Street 1:1450 E 17TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-8528
Mailing Address - Country:US
Mailing Address - Phone:714-543-0020
Mailing Address - Fax:714-543-0030
Practice Address - Street 1:1450 E 17TH ST
Practice Address - Street 2:#102
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-8510
Practice Address - Country:US
Practice Address - Phone:714-543-0020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAS051556Medicare PIN