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Organization
SAN DIMAS SURGICAL MEDICAL CENTER
Active
Organization
SAN DIMAS SURGICAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAAC MICHAEL MINEHART SR. M.D (MEDICAL DIRECTOR)
(818) 784-3125
Entity
Organization
Contact information
Practice address
1359 W ARROW HWY, SAN DIMAS, CA 91773-2330
(818) 784-3125
(818) 784-3126
Mailing address
16250 VENTURA BLVD STE 165, ENCINO, CA 91436-2273
(818) 784-3125
(818) 784-3126
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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