Organization
PREMIER OUTPATIENT SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WOOD M.D. (PRESIDENT)
(909) 370-2190
Entity
Organization
Contact information
Practice address
900 E WASHINGTON ST, STE 155, COLTON, CA 92324-4196
(909) 370-2190
(909) 370-2266
Mailing address
900 E WASHINGTON ST, STE 155, COLTON, CA 92324-4196
(909) 370-2190
(909) 370-2266
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
240000827
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01516F
—
CA
Enumeration date
06/17/2005
Last updated
05/06/2008
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