| NPI | 1932496908 |
|---|---|
| Former Legal Business Name | CONCOURSE DIAGNOSTIC SURGERY CENTER,LLC |
| Entity Type | Organization |
| Authorized Contact | HENRY H. CHANG Medical Director 626-588-7789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2019-08-21 |