Organization
SAN DIEGO SPORTS AND MINIMALLY INVASIVE SURGERY CENTER LLC
Active
Other names
SMI Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC D JANG (PRESIDENT & CEO)
(916) 614-3608
Entity
Organization
Contact information
Practice address
3939 RUFFIN RD, SUITE 100, SAN DIEGO, CA 92123-1815
(858) 449-4071
Mailing address
3939 RUFFIN RD, SUITE 100, SAN DIEGO, CA 92123-1815
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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