SELECT SPECIALTY SURGERY – NPI #1104554617
Clinic/Center

SELECT SPECIALTY SURGERY is an AHC clinic located in FOUNTAIN VALLEY, CA. NPPES has assigned the NPI number 1104554617 to SELECT SPECIALTY SURGERY on August 11, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Dec 09, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SELECT SPECIALTY SURGERY below.

NPI Profile for
SELECT SPECIALTY SURGERY

NPI Number
1104554617
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SELECT SPECIALTY SURGERY
Primary location
10900 WARNER AVE STE 101A
FOUNTAIN VALLEY, CA 92708-3846
Phone: (714) 290-6226 Fax:
Mailing address
2367 GYPSUM CT
CHINO HILLS, CA 91709-2130
Phone: (714) 290-6226 Fax:
Organization Subpart
No
Authorized Official
SUZANNE RICHARDS
CO-OWNER
Phone: (714) 290-6226
Updated
Certification Date
Dec 09, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.