PS
PROVIDENCE SPECIALTY SURGERY CENTER LLC
Adult Day Care
OIG CLEARNPI VERIFIED
Location
ORANGE, CA
Licensed since
2023
Rate
—
Federal identifiers
NPI registry number1861180671
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameJAMSHID SHADJAREH
TitleCHAIRMAN, GOVERNING BODY
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