Organization
COVINA SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P KHALAF DDS (DIRECTOR)
(626) 966-2222
Entity
Organization
Contact information
Practice address
246 W COLLEGE ST, SUITE 200, COVINA, CA 91723-1910
(626) 966-2222
(866) 398-7641
Mailing address
246 W COLLEGE ST, SUITE 200, COVINA, CA 91723-1910
(626) 966-2222
(866) 398-7641
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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