Organization
COVINA SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KHALAF DDS (PRESIDENT)
(323) 982-0004
Entity
Organization
Contact information
Practice address
246 W COLLEGE ST STE 200, COVINA, CA 91723-1910
(323) 982-0004
Mailing address
246 W COLLEGE ST STE 200, COVINA, CA 91723-1910
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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