NPI | 1972724987 |
---|---|
Former Legal Business Name | CALIFORNIACARE SURGICAL MEDICAL CENTER INC |
Entity Type | Organization |
Authorized Contact | MIGUEL A DOMINGUEZ Owner 626-279-1855 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA IMQ 10174) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2010-01-12 |