| NPI | 1952492860 |
|---|---|
| Former Legal Business Name | SOUTH COAST SURGICAL |
| Entity Type | Organization |
| Authorized Contact | STEVEN D FISHER President 310-373-6864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-10-23 |