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
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 SurgicalAmbulatory Surgical

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