Radiance Outpatient Surgery Centre

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RADIANCE OUTPATIENT SURGERY CENTRE

Practice address

9842 Bolsa Ave # 200-a
Westminster, CA 92683-6680

Phone

(714) 418-9499

NPI assigned

Jun 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thanh N. Nguyen, M.D.

Title

Owner

Phone

(714) 418-9499

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1104020338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9842 BOLSA AVE # 200-A",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836680",
            "telephone_number": "714-418-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9842 BOLSA AVE # 200-A",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836680",
            "telephone_number": "714-418-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE OUTPATIENT SURGERY CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THANH",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-418-9499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NO.",
            "identifier": "G71173",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Priscilla C Raj, BACHELORS
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• Jacqueline Ramirez, MS., BCBA

• Ambulatory Surgical Clinic/Center in Westminster, CA
• Providers in Westminster, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.