Organization Name: | LOS ALAMITOS SURGERY CENTER LP |
NPI Number: | 1053328781 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM P ARELLO (PRESIDENT) |
Mailing Address: | 10921 Cherry St #100 Los Alamitos |
State: | CA US |
Postal Code: | 90720 |
Phone Number: | 5627955600 |
Fax Number: | 5627955602 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |