Provider Demographics
NPI:1699939629
Name:THE OC SURGERY CENTER
Entity type:Organization
Organization Name:THE OC SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:F
Authorized Official - Last Name:CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACS
Authorized Official - Phone:714-972-0666
Mailing Address - Street 1:2200 E FRUIT ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4479
Mailing Address - Country:US
Mailing Address - Phone:714-550-9972
Mailing Address - Fax:714-569-0081
Practice Address - Street 1:2200 E FRUIT ST
Practice Address - Street 2:SUITE 104
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4479
Practice Address - Country:US
Practice Address - Phone:714-550-9972
Practice Address - Fax:714-569-0081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical