China Lake Surgery Center, LLC
NPI #1821223827 in Ridgecrest, California
Provider Information
- NPI Number
- 1821223827
- Entity Type
- Organization
- Organization Name
- China Lake Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 19, 2009
- Last Updated
- May 19, 2009
Practice Location
- Address
- 1111 N CHINA LAKE BLVD
- Address 2
- SUITE 2A
- City
- Ridgecrest
- State
- California
- ZIP Code
- 93555-3131
- Phone
- (760) 446-8100
Authorized Official
- Name
- DR. LEE MAREK, D.P.M.
- Title
- SECRETARY
- Phone
- (760) 446-8100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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