| NPI | 1013298751 |
|---|---|
| Doing Business As | LA MESA SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SUSAN KAWESKI Medical Director 619-464-9876 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 05C0001125) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2012-02-20 |