NPI | 1821195009 |
---|---|
Former Legal Business Name | PACIFIC COAST SURGICAL CENTER |
Entity Type | Organization |
Authorized Contact | RIFAAT DOVER SALEM Medical Director 310-376-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility (Licence: CA G046242) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |