Organization
AMERICAN PAIN INSTITUE SURGICAL MEDICAL CENTER INC
Active
Other names
CaliforniaCare Surgical Medical Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL A DOMINGUEZ M.D. (OWNER)
(626) 279-1855
Entity
Organization
Contact information
Practice address
10610 LOWER AZUSA RD, EL MONTE, CA 91731-1210
(626) 279-1855
(626) 279-9455
Mailing address
10610 LOWER AZUSA RD, EL MONTE, CA 91731-1210
(626) 279-1855
(626) 279-9455
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
IMQ 10174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18948
CITY BUSINESS LICENSE
CA
01
—
FNP 31042
FICTITIOUS NAME PERMIT
CA
01
—
IMQ ACCREDITATION
10174
CA
Enumeration date
05/01/2007
Last updated
01/12/2010
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