Organization
SAN DIMAS SURGICAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAAC MICHAEL MINEHART SR. M.D (MEDICAL DIRECTOR)
(818) 784-3125
Entity
Organization
Contact information
Practice address
1359 W ARROW HWY, SAN DIMAS, CA 91773-2330
(818) 784-3125
(818) 784-3126
Mailing address
16250 VENTURA BLVD STE 165, ENCINO, CA 91436-2273
(818) 784-3125
(818) 784-3126
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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