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Organization
BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION
Active
Organization
BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CO D.L. PHAM M.D. (PRESIDENT)
(714) 775-5690
Entity
Organization
Contact information
Practice address
10362 BOLSA AVE STE 100, WESTMINSTER, CA 92683-6763
(714) 775-5690
(714) 775-7405
Mailing address
10362 BOLSA AVE STE 100, WESTMINSTER, CA 92683-6763
(714) 775-5690
(714) 775-7405
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/20/2006
Last updated
07/13/2017
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