Organization
ENVISION SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA ELLIOT OPATOWSKY M.D. (MANAGING PARTNER)
(661) 948-4373
Entity
Organization
Contact information
Practice address
42442 10TH ST W, SUITE G, LANCASTER, CA 93534-7067
(661) 948-4373
Mailing address
42442 10TH ST W, SUITE G, LANCASTER, CA 93534-7067
(661) 948-4373
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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