San Dimas Surgical Medical Center Institute Inc. | |
221 N San Dimas Ave Suite 200 San Dimas CA 91773-2664 | |
(909) 592-0142 | |
(909) 592-0339 |
Full Name | San Dimas Surgical Medical Center Institute Inc. |
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Speciality | Clinic/center |
Location | 221 N San Dimas Ave, San Dimas, California |
Authorized Official Name and Position | Alexander Sorokurs (PRESIENT) |
Authorized Official Contact | 9095920142 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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San Dimas Surgical Medical Center Institute Inc. 221 N San Dimas Ave Suite 200 San Dimas CA 91773-2664 Ph: (909) 592-0142 | San Dimas Surgical Medical Center Institute Inc. 221 N San Dimas Ave Suite 200 San Dimas CA 91773-2664 Ph: (909) 592-0142 |
NPI Number | 1407040843 |
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Provider Enumeration Date | 08/29/2007 |
Last Update Date | 07/08/2008 |
Identifier | Type | State | Issuer |
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1407040843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | FNP31533 (California) | Primary |
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