Provider Demographics
NPI:1972692754
Name:PACIFIC COAST SURGERY CENTER 7 LLC
Entity type:Organization
Organization Name:PACIFIC COAST SURGERY CENTER 7 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:YAPLEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-721-2020
Mailing Address - Street 1:1519 GARCES HWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215
Mailing Address - Country:US
Mailing Address - Phone:661-720-9600
Mailing Address - Fax:661-721-2401
Practice Address - Street 1:1519 GARCES HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-3694
Practice Address - Country:US
Practice Address - Phone:661-720-9600
Practice Address - Fax:661-721-2401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADHS120000505261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASUR01393FMedicaid
CABA614Medicare PIN