Organization
PROSURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LALEZARIAN MD (CHAIRMAN, GOVERNING BODY)
(310) 906-2270
Entity
Organization
Contact information
Practice address
246 W COLLEGE ST STE 200, COVINA, CA 91723-1925
(310) 906-2270
Mailing address
246 W COLLEGE ST STE 200, COVINA, CA 91723-1925
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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