| NPI | 1033803606 |
|---|---|
| Former Legal Business Name | BAYSIDE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JAN ECKERMANN Medical Director 310-703-7713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-05-03 |