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 |