Organization
INTEGRITY SSURGICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER SOROKURS MD (MEDICAL DIRECTOR)
(310) 622-5369
Entity
Organization
Contact information
Practice address
221 N SAN DIMAS AVE # 201, SAN DIMAS, CA 91773-2664
(909) 592-0142
(909) 592-0339
Mailing address
221 N SAN DIMAS AVE # 201, SAN DIMAS, CA 91773-2664
(909) 592-0142
(909) 592-0339
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
CA
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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