Organization
NOVAK URGENT CARE AMBULATORY SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE OGANYAN (COO)
(626) 791-9004
Entity
Organization
Contact information
Practice address
80545 US HIGHWAY 111, INDIO, CA 92201-8367
(760) 347-9221
(760) 479-5930
Mailing address
80545 US HIGHWAY 111, INDIO, CA 92201-8367
(760) 347-9221
(760) 479-5930
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
00G518830
CA
Other
Enumeration date
12/11/2014
Last updated
12/12/2014
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