| NPI | 1356356133 |
|---|---|
| Former Legal Business Name | NISSANOFF SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JONATHAN NISSANOFF CEO/Owner 858-451-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-07-24 |