Organization
MINIMALLY INVASIVE SURGICAL SERVICES, INC., AN OSTEOPATHIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN JOHN LEE D.O. (PRESIDENT / CEO)
(786) 266-8708
Entity
Organization
Contact information
Practice address
885 S ATLANTIC BLVD, MONTEREY PARK, CA 91754-4733
(786) 266-8707
(626) 300-0056
Mailing address
885 S ATLANTIC BLVD, MONTEREY PARK, CA 91754-4733
(786) 266-8707
(626) 300-0056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
03/28/2013
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