PREMIER OUTPATIENT SURGERY CENTER, INC.
Surgery Yellow Pages
Colton, California
Provider NPI: 1033114764
Organization Information:Organization Name: PREMIER OUTPATIENT SURGERY CENTER, INC.
Practice Location:
900 E WASHINGTON ST STE 155 COLTON, CA 92324 US
Tel: 909-370-2190 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
900 E WASHINGTON ST STE 155 COLTON, CA 92324 US
Tel: 909-370-2190 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | CA | 240000827 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
SUR01516F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin