# PREMIER OUTPATIENT SURGERY CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033114764
- **Authorized official:** MR. DAVID WOOD M.D. (PRESIDENT)
- **Authorized official phone:** (909) 370-2190

## Contact information

- **Practice address:** 900 E WASHINGTON ST, STE 155, COLTON, CA 92324-4196
- **Practice address phone:** (909) 370-2190
- **Practice address fax:** (909) 370-2266
- **Mailing address:** 900 E WASHINGTON ST, STE 155, COLTON, CA 92324-4196
- **Mailing address phone:** (909) 370-2190
- **Mailing address fax:** (909) 370-2266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 240000827 | CA | Yes |

## Other

- **Enumeration date:** 06/17/2005
- **Last updated:** 05/06/2008