NPI | 1669540118 |
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Doing Business As | VALLEY LASER SURGERY CENTER, INC. |
Entity Type | Organization |
Authorized Contact | STEVENS YOUNG JUN KIM Secretary And Treasurer 209-952-1189 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CA G76813) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2009-03-30 |