NPI | 1275532889 |
---|---|
Doing Business As | COAST SURGERY CENTER OF SOUTH BAY |
Entity Type | Organization |
Authorized Contact | ERIC BOON Officer, Authorized Official 480-567-0269 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA CLN794) |
Enumeration Date | 2005-07-15 |
Last Update Date | 2024-09-18 |