Organization
SAN DIMAS SURGICAL MEDICAL CENTER INSTITUTE INC.
Active
Organization
SAN DIMAS SURGICAL MEDICAL CENTER INSTITUTE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER SOROKURS M.D. (PRESIENT)
(909) 592-0142
Entity
Organization
Contact information
Practice address
221 N SAN DIMAS AVE, SUITE 200, SAN DIMAS, CA 91773-2664
(909) 592-0142
(909) 592-0339
Mailing address
221 N SAN DIMAS AVE, SUITE 200, SAN DIMAS, CA 91773-2664
(909) 592-0142
(909) 592-0339
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
FNP31533
CA
Other
Enumeration date
08/29/2007
Last updated
07/08/2008
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