Organization
ANTELOPE VALLEY SURGICAL INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA MARIA GALEAZZI M.S.N. (ADMINISTRATOR)
(661) 940-6060
Entity
Organization
Contact information
Practice address
1720 WEST AVENUE J, LANCASTER, CA 93534-2700
(661) 940-6060
(661) 940-9022
Mailing address
1720 WEST AVENUE J, LANCASTER, CA 93534-2700
(661) 940-6060
(661) 940-9022
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
2405479
CA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00240697
RAILROAD MEDICARE
CA
Enumeration date
11/08/2006
Last updated
03/28/2019
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