BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION – NPI #1962500454
Clinic/Center

BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION is an AHC clinic located in WESTMINSTER, CA. NPPES has assigned the NPI number 1962500454 to BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION on September 20, 2006. 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 9 years ago on Jul 13, 2017. 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 BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION below.

NPI Profile for
BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION

NPI Number
1962500454
Enumeration Date

(more than 19 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
BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION
Primary location
10362 BOLSA AVE STE 100
WESTMINSTER, CA 92683-6763
Phone: (714) 775-5690 Fax: (714) 775-7405
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CO PHAM
PRESIDENT
Phone: (714) 775-5690
Updated
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.