| Organization Name: | PREMIER OUTPATIENT SURGERY CENTER, INC. |
| NPI Number: | 1033114764 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID WOOD (PRESIDENT) |
| Mailing Address: | 900 E Washington St Ste 155 Colton |
| State: | CA US |
| Postal Code: | 923244196 |
| Phone Number: | 9093702190 |
| Fax Number: | 9093702266 |
| NPI Enumeration Date: | 06/17/2005 |
| NPI Last Update Date: | 05/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 240000827 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |