ORANGE COAST SURGERY CENTER
Ambulatory Health at Anaheim Blvd, Anaheim, CA

License number
California A49872
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MR. KRISHNA PRASAD SURAPANENI M.D.
Title: OWNER/CEO
Phone: (714) 399-0046
Address
Address
1000 S Anaheim Blvd SUITE 300, Anaheim, CA 92805
National Provider ID: 1407086044
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ORANGE COAST SURGERY CENTER, INC

Anaheim, CA

Industry:
Medical Doctor's Office
Doing business as:
Orange Coast Surgery Center<br>Orange Coast Mri
Registration:
Jul 24, 2006
Addresses:
PO Box 18174, Anaheim, CA 92817 (Physical)
1000 S Anaheim Blvd, Anaheim, CA 92805
State ID:
C2899961
Business type:
Articles of Incorporation
President, Chief Executive Officer, Owner, Principal:
Krishna P. Surapaneni (President, Chief Executive Officer, Owner, Principal)
Agent:
Krishna Prasad Surapaneni,Riverside, CA 92503 (Physical)

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