Organization
PACIFIC SURGICAL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE U MCCORMICK DDS (PRESIDENT)
(760) 753-5300
Entity
Organization
Contact information
Practice address
355 SANTA FE DR, SUITE 100, ENCINITAS, CA 92024-5132
(760) 753-5300
(760) 753-9468
Mailing address
355 SANTA FE DR, SUITE 100, ENCINITAS, CA 92024-5132
(760) 753-5300
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
50704
CA
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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