Organization
PALMDALE LANCASTER SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ECKO BERNARDI (ADMINISTRATOR)
(661) 729-3910
Entity
Organization
Contact information
Practice address
42442 10TH ST W, SUITE G, LANCASTER, CA 93534-7067
(661) 729-3910
(661) 729-3970
Mailing address
42442 10TH ST W, SUITE G, LANCASTER, CA 93534-7067
(661) 729-3910
(661) 729-3970
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
930000956
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01504F
—
CA
Enumeration date
05/09/2006
Last updated
09/17/2008
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