NPI | 1679694392 |
---|---|
Former Legal Business Name | DIRECTED INTERVENTIONAL SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | SALLY CASE Billing Manager 310-829-9788 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA S051520) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2017-02-03 |