San Dimas Surgical Medical Center Institute Inc.

NPI #1407040843 in San Dimas, California

Provider Information

NPI Number
1407040843
Entity Type
Organization
Organization Name
San Dimas Surgical Medical Center Institute Inc.
Primary Specialty
Clinic/Center
Enumeration Date
Aug 29, 2007
Last Updated
Jul 8, 2008

Practice Location

Address
221 N SAN DIMAS AVE
Address 2
SUITE 200
ZIP Code
91773-2664
Phone
(909) 592-0142

Authorized Official

Name
DR. ALEXANDER SOROKURS, M.D.
Title
PRESIENT
Phone
(909) 592-0142

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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