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Organization

PHYSICIAN ASSISTANT SURGASSIST, INC.

Active
Other names
SurgAssist, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
ANGEL ANAK-AGUNG-GEDE PA-C (PRESIDENT)
(951) 206-2347
Entity
Organization

Contact information

Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 740-6000
Mailing address
1250 SANTA CORA AVE APT 627, CHULA VISTA, CA 91913-1555
(951) 206-2347

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
06/13/2017
Last updated
06/13/2017
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