Organization
COUNTY OF LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ART BERNAL (REVENUE MANAGER)
(323) 890-7775
Entity
Organization
Contact information
Practice address
5555 FERGUSON DR, COMMERCE, CA 90022-5164
(323) 890-7509
Mailing address
44900 60TH ST W, LANCASTER, CA 93536-7618
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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