Premier Outpatient Surgery Center, Inc.

LBN: Premier Outpatient Surgery Center, Inc.
Premier Outpatient Surgery Center, Inc. is an health care organization with primary practice located at 900 E Washington St Ste 155, Colton CA 92324-4196. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Premier Outpatient Surgery Center, Inc. can be contacted via phone (909) 370-2190, or through Wood, David via phone (909) 370-2190.

Contact Information

Primary practice address
900 E Washington St Ste 155 Colton CA 92324-4196
Phone: (909) 370-2190
Fax: (909) 370-2266
Website:
Map and Directions
Authorized official contact:
Name: Wood, David Doctor of Medicine (MD)
Phone: (909) 370-2190

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 240000827 California

Profile Details

NPI number 1033114764
LBN Legal business name Premier Outpatient Surgery Center, Inc.
DBA Doing business as
Authorized official Wood, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2005
Last updated May 6th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033114764 NPPES
California MEDICAID SUR01516F

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