Organization
PROFESSIONAL SURGICENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALUAN GERARDO SOLTERO M.D. (CEO)
(858) 450-7694
Entity
Organization
Contact information
Practice address
4510 EXECUTIVE DR STE 105A, SAN DIEGO, CA 92121-3022
(858) 450-7694
(858) 450-7690
Mailing address
4510 EXECUTIVE DR STE 105A, SAN DIEGO, CA 92121-3022
(858) 450-7694
(858) 450-7690
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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