# SAN DIMAS SURGICAL MEDICAL CENTER

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

## Provider details

- **NPI number:** 1730454737
- **Authorized official:** DR. ISAAC MICHAEL MINEHART SR. M.D (MEDICAL DIRECTOR)
- **Authorized official phone:** (818) 784-3125

## Contact information

- **Practice address:** 1359 W ARROW HWY, SAN DIMAS, CA 91773-2330
- **Practice address phone:** (818) 784-3125
- **Practice address fax:** (818) 784-3126
- **Mailing address:** 16250 VENTURA BLVD STE 165, ENCINO, CA 91436-2273
- **Mailing address phone:** (818) 784-3125
- **Mailing address fax:** (818) 784-3126

## Taxonomy

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

## Other

- **Enumeration date:** 03/09/2012
- **Last updated:** 03/09/2012