Organization
APOLLO SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVAIK TYAGI MD (CHAIRMAN, GOVERNING BODY)
(661) 579-4700
Entity
Organization
Contact information
Practice address
43944 15TH STREET W, SUITE 101, LANCASTER, CA 93534
(661) 579-4700
Mailing address
43944 15TH STREET W, SUITE 101, LANCASTER, CA 93534
(661) 579-4700
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
09/23/2022
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