Bonita Surgical Medical Center
NPI #1144574815 in San Dimas, California
Provider Information
- NPI Number
- 1144574815
- Entity Type
- Organization
- Organization Name
- Bonita Surgical Medical Center
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 2, 2012
- Last Updated
- Nov 2, 2012
Practice Location
- Address
- 221 N SAN DIMAS AVE
- Address 2
- STE 200
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-2664
- Phone
- (909) 592-0142
Authorized Official
- Name
- ALEXANDER SOROKURS, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (909) 592-0142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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