Organization
MAGNOLIA SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK HASSANEIN (PRESIDENT)
(619) 990-1698
Entity
Organization
Contact information
Practice address
463 N MAGNOLIA AVE, EL CAJON, CA 92020-3606
(619) 990-1698
Mailing address
PO BOX 181770, CORONADO, CA 92178-1770
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2015
Last updated
05/04/2018
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