OC SURGICAL SUPPORT LLC – NPI #1104698638
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

OC SURGICAL SUPPORT LLC is a provider located in NEWPORT BEACH, CA. NPPES has assigned the NPI number 1104698638 to OC SURGICAL SUPPORT LLC on October 27, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 2 years ago on Jan 04, 2024. 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 OC SURGICAL SUPPORT LLC below.

NPI Profile for
OC SURGICAL SUPPORT LLC

NPI Number
1104698638
Enumeration Date

(more than 2 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
OC SURGICAL SUPPORT LLC
Primary location
4501 BIRCH ST STE 101A
NEWPORT BEACH, CA 92660-1990
Phone: (310) 543-7779 Fax: (844) 386-5090
Mailing address
1231 CABRILLO AVE STE 205
TORRANCE, CA 90501-2867
Phone: (310) 543-7779 Fax: (844) 386-5090
Organization Subpart
No
Authorized Official
DAVID CARRY
MANAGER
Phone: (310) 543-7779
Updated
Certification Date
Jan 04, 2024

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
208D00000X
- General Practice (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.