Organization
BONITA SURGICAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER SOROKURS M.D. (MEDICAL DIRECTOR)
(909) 592-0142
Entity
Organization
Contact information
Practice address
221 N SAN DIMAS AVE, STE 200, SAN DIMAS, CA 91773-2664
(909) 592-0142
(909) 592-0339
Mailing address
221 N SAN DIMAS AVE, STE 200, SAN DIMAS, CA 91773-2664
(909) 592-0142
(909) 592-0339
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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