Organization
THE RESERVOIR PHYSICANS SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRIS KOENIG MD (MANAGER)
(619) 287-3270
Entity
Organization
Contact information
Practice address
6716 ALVARADO RD, SAN DIEGO, CA 92120
(619) 287-3270
Mailing address
6716 ALVARADO RD, SAN DIEGO, CA 92120
(619) 287-3270
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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