Organization
EYE SURGERY CENTER OF SOUTHERN CALIFORNIA, A MEDICAL GROUP
Active
Parent organization
EYE SURGERY CENTER OF SOUTHERN CALIFORNIA, A MEDICAL GROUP
Other names
Tri City Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYE SURGERY CENTER OF SOUTHERN CALIFORNIA, A MEDICAL GROUP
Authorized official
DR. ANUJ GUPTA M.D. (MEDICAL DIRECTOR)
(760) 941-8152
Entity
Organization
Contact information
Practice address
2023 W VISTA WAY, SUITE E, VISTA, CA 92083-6030
(760) 941-8152
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 943-4180
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A85939
CA
Other
Enumeration date
08/22/2013
Last updated
08/26/2013
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