NPI | 1982043428 |
---|---|
Doing Business As | THE ADVANCED SURGICAL INSTITUTE |
Entity Type | Organization |
Authorized Contact | MAZIN S AL-HAKEEM Medical Director 909-373-4380 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
Enumeration Date | 2013-06-18 |
Last Update Date | 2013-06-18 |