| NPI | 1639613763 |
|---|---|
| Doing Business As | LAKESIDE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | VINOD KUMAR CEO / Medical Director 661-829-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A49366) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-09 |