Organization
CHINA LAKE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE MAREK D.P.M. (SECRETARY)
(760) 446-8100
Entity
Organization
Contact information
Practice address
1111 N CHINA LAKE BLVD, SUITE 2A, RIDGECREST, CA 93555-3131
(760) 446-8100
(760) 446-8181
Mailing address
1111 N CHINA LAKE BLVD, SUITE 2A, RIDGECREST, CA 93555-3131
(760) 446-8100
(760) 446-8181
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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