Organization
OUTPATIENT SURGERY OF POINT LOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M. KUPFER M.D. (OWNER)
(619) 223-2271
Entity
Organization
Contact information
Practice address
3434 MIDWAY DR, #1006, SAN DIEGO, CA 92110-4923
(619) 223-2271
Mailing address
12021 WILSHIRE BLVD, #864, LOS ANGELES, CA 90025-1206
(310) 471-5852
(310) 472-9582
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01268F
—
CA
Enumeration date
09/21/2006
Last updated
08/22/2020
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