Organization
CLOVER SURGICAL CENTER, INC., A CALIFORNIA CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL PAUL RUBIN (ADMINISTRATOR)
(818) 415-3205
Entity
Organization
Contact information
Practice address
12134 VICTORY BLVD, SUITE E, NORTH HOLLYWOOD, CA 91606-3205
(818) 762-8702
(818) 761-2583
Mailing address
12134 VICTORY BLVD, SUITE E, NORTH HOLLYWOOD, CA 91606-3205
(818) 762-8702
(818) 761-2583
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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