Clover Surgical Center, Inc., a California Corporation
NPI #1619368248 in North Hollywood, California
Provider Information
- NPI Number
- 1619368248
- Entity Type
- Organization
- Organization Name
- Clover Surgical Center, Inc., a California Corporation
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 18, 2015
- Last Updated
- Feb 18, 2015
Practice Location
- Address
- 12134 VICTORY BLVD
- Address 2
- SUITE E
- City
- North Hollywood
- State
- California
- ZIP Code
- 91606-3205
- Phone
- (818) 762-8702
Authorized Official
- Name
- MR. MITCHELL PAUL RUBIN
- Title
- ADMINISTRATOR
- Phone
- (818) 415-3205
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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