| Premier Surgical Center | |
|
333 S Alameda St Ste 203 Los Angeles CA 90013-1734 | |
| (909) 723-0057 | |
| Not Available |
| Full Name | Premier Surgical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 333 S Alameda St Ste 203, Los Angeles, California |
| Authorized Official Name and Position | Joseph Lochinvar Dinglasan (PRESIDENT) |
| Authorized Official Contact | 9097230057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Surgical Center 3111 Los Feliz Blvd Ste 102 Los Angeles CA 90039-1599 Ph: (909) 723-0057 | Premier Surgical Center 333 S Alameda St Ste 203 Los Angeles CA 90013-1734 Ph: (909) 723-0057 |
| NPI Number | 1134791338 |
|---|---|
| Provider Enumeration Date | 07/15/2021 |
| Last Update Date | 12/12/2022 |
| Medicare PECOS PAC ID | 7517346596 |
|---|---|
| Medicare Enrollment ID | O20221222001844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134791338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Joseph Lochinvar Dinglasan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144774613 PECOS PAC ID: 9931439627 Enrollment ID: I20190923002956 |
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