Table # Values
ambulatory_surgery_char_by_faclty_2016 1 oshpd_id: 306304147
facility_num: 304147
facility_name: FOUNTAIN VALLEY SURGERY CENTER
county_code: 30
license_type_desc: Clinic
county_name: ORANGE
dba_address1: 11190 WARNER AVENUE
dba_city: FOUNTAIN VALLEY
dba_zip_code: 92708
control_type_desc: Investor - Limited Liability Company
rural_hospital_desc: None
teaching_hospital_desc: None
licensed_bed_size: -
senate_district_desc: District 34
assembly_district_desc: District 72
mssa_name: FOUNTAIN VALLEY/HUNTINGTON BEACH CENTRAL
mssa_designation: Urban
teach_rural: NA
sex_female: 1132
sex_male: 870
sex_unknown_invalid: None
hcount: 0
ccount: 1
license_type: Clinic
age_10_19: 156
age_20_29: 171
age_30_39: 180
age_40_49: 307
age_50_59: 506
age_60_69: 390
age_70_79: 159
age_80_: 54
age_01_09: 79
age_under_1: None
age_unknown: None
asian_pacific_islander: 360
black: 30
hispanic: 496
other_race: 119
unknown_race: 550
white: 447
american_indian_alaska_native: None
acute_care: 2
rehab: None
routine: 1999
sn_ic_care: None
against_medical_advice: 1
cah: None
childrens_or_cancer: None
home_health_service: None
hospice_care: None
invalid_blank_disp: None

ambulatory_surgery_char_by_faclty_2017 1 oshpd_id: 306304147
facility_num: 304147
facility_name: FOUNTAIN VALLEY SURGERY CENTER
county_code: 30
license_type_desc: Clinic
county_name: ORANGE
dba_address1: 11190 WARNER AVENUE
dba_city: FOUNTAIN VALLEY
dba_zip_code: 92708
control_type_desc: Investor - Limited Liability Company
rural_hospital_desc: None
teaching_hospital_desc: None
licensed_bed_size: -
senate_district_desc: District 34
assembly_district_desc: District 72
mssa_name: FOUNTAIN VALLEY/HUNTINGTON BEACH CENTRAL
mssa_designation: Urban
teach_rural: NA
sex_female: 1480
sex_male: 1217
sex_unknown_invalid: None
hcount: 0
ccount: 1
license_type: Clinic
age_10_19: 180
age_20_29: 258
age_30_39: 264
age_40_49: 407
age_50_59: 726
age_60_69: 543
age_70_79: 197
age_80_: 49
age_01_09: 73
age_under_1: None
age_unknown: None
asian_pacific_islander: 710
black: 50
hispanic: 692
other_race: 186
unknown_race: 24
white: 1035
american_indian_alaska_native: None
acute_care: None
against_medical_advice: None
rehab: None
routine: 2697
sn_ic_care: None
cah: None
home_health_service: None
hospice_care: None
not_defined_elsewhere: None
psychiatric_care: None

licensed_facility_listing_02 1 oshpd_id: 306304147
facility_name: FOUNTAIN VALLEY SURGERY CENTER
license_num: 550003221
facility_level_desc: Parent Facility
dba_address1: 11190 WARNER AVENUE
dba_city: FOUNTAIN VALLEY
dba_zip_code: 92708
county_code: 30
county_name: ORANGE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 08/11/2015
license_type_desc: Clinic
license_category_desc: Surgical Clinic
longitude: -117.9333707
latitude: 33.7140031

licensed_facility_listing_03 1 oshpd_id: 306304147
facility_name: FOUNTAIN VALLEY SURGERY CENTER
license_num: 550003221
facility_level_desc: Parent Facility
dba_address1: 11190 WARNER AVENUE
dba_city: FOUNTAIN VALLEY
dba_zip_code: 92708
county_code: 30
county_name: ORANGE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 8/11/2015
license_type_desc: Clinic
license_category_desc: Surgical Clinic
latitude: 33.7140031
longitude: -117.9333707

licensed_facility_listing_04 1 oshpd_id: 306304147
facility_name: FOUNTAIN VALLEY SURGERY CENTER
license_num: 550003221
facility_level_desc: Parent Facility
dba_address1: 11190 WARNER AVENUE
dba_city: FOUNTAIN VALLEY
dba_zip_code: 92708
county_code: 30
county_name: ORANGE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-08-11
license_type_desc: Clinic
license_category_desc: Surgical Clinic
latitude: 33.71400310
longitude: -117.93337070

licensed_facility_listing_11 1 oshpd_id: 306304147
facility_name: FOUNTAIN VALLEY SURGERY CENTER
license_num: 550003221
facility_level_desc: Parent Facility
dba_address1: 11190 WARNER AVENUE
dba_city: FOUNTAIN VALLEY
dba_zip_code: 92708
county_code: 30
county_name: ORANGE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-08-11
license_type_desc: Clinic
license_category_desc: Surgical Clinic
latitude: 33.71400310
longitude: -117.93337070

licensed_facility_listing_12 1 oshpd_id: 306304147
facility_name: FOUNTAIN VALLEY SURGERY CENTER
license_num: 550003221
facility_level_desc: Parent Facility
dba_address1: 11190 WARNER AVENUE
dba_city: FOUNTAIN VALLEY
dba_zip_code: 92708
county_code: 30
county_name: ORANGE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-08-11
license_type_desc: Clinic
license_category_desc: Surgical Clinic
latitude: 33.71400310
longitude: -117.93337070

licensed_healthcare_facility_listing 5 period: 2016-12-31
oshpd_id: 306304147
facility_name: FOUNTAIN VALLEY SURGERY CENTER
license_num: 550003221
facility_level_desc: Parent Facility
dba_address1: 11190 WARNER AVENUE
dba_city: FOUNTAIN VALLEY
dba_zip_code: 92708
county_code: 30
county_name: ORANGE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-08-11
license_type_desc: Clinic
license_category_desc: Surgical Clinic
latitude: 33.71400310
longitude: -117.93337070

period: 2017-12-31
oshpd_id: 306304147
facility_name: FOUNTAIN VALLEY SURGERY CENTER
license_num: 550003221
facility_level_desc: Parent Facility
dba_address1: 11190 WARNER AVENUE
dba_city: FOUNTAIN VALLEY
dba_zip_code: 92708
county_code: 30
county_name: ORANGE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-08-11
license_type_desc: Clinic
license_category_desc: Surgical Clinic
latitude: 33.71400310
longitude: -117.93337070

period: 2018-12-31
oshpd_id: 306304147
facility_name: FOUNTAIN VALLEY SURGERY CENTER
license_num: 550003221
facility_level_desc: Parent Facility
dba_address1: 11190 WARNER AVENUE
dba_city: FOUNTAIN VALLEY
dba_zip_code: 92708
county_code: 30
county_name: ORANGE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-08-11
license_type_desc: Clinic
license_category_desc: Surgical Clinic
latitude: 33.71400310
longitude: -117.93337070

period: 2017-06-30
oshpd_id: 306304147
facility_name: FOUNTAIN VALLEY SURGERY CENTER
license_num: 550003221
facility_level_desc: Parent Facility
dba_address1: 11190 WARNER AVENUE
dba_city: FOUNTAIN VALLEY
dba_zip_code: 92708
county_code: 30
county_name: ORANGE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-08-11
license_type_desc: Clinic
license_category_desc: Surgical Clinic
latitude: 33.71400310
longitude: -117.93337070

period: 2018-06-30
oshpd_id: 306304147
facility_name: FOUNTAIN VALLEY SURGERY CENTER
license_num: 550003221
facility_level_desc: Parent Facility
dba_address1: 11190 WARNER AVENUE
dba_city: FOUNTAIN VALLEY
dba_zip_code: 92708
county_code: 30
county_name: ORANGE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-08-11
license_type_desc: Clinic
license_category_desc: Surgical Clinic
latitude: 33.71400310
longitude: -117.93337070