Organization
GROSSMONT OUTPATIENT SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE M ELLIS RN (ADMINISTRATOR)
(619) 462-8620
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DRIVE, BLDG. 3 SUITE 250, LA MESA, CA 91942-3026
(619) 462-8620
(619) 462-8621
Mailing address
5565 GROSSMONT CENTER DRIVE, BLDG. 3 SUITE 250, LA MESA, CA 91942-3026
(619) 462-8620
(619) 462-8621
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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