1811921752 NPI number — GLENDORA SURGERY CENTER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811921752 NPI number — GLENDORA SURGERY CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GLENDORA SURGERY CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811921752
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/16/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
541 S PASADENA AVE
Provider Second Line Business Mailing Address:
#101
Provider Business Mailing Address City Name:
GLENDORA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91741
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-610-1850
Provider Business Mailing Address Fax Number:
626-963-8691

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
541 S PASADENA AVE
Provider Second Line Business Practice Location Address:
#101
Provider Business Practice Location Address City Name:
GLENDORA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91741
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-610-1850
Provider Business Practice Location Address Fax Number:
626-963-8691
Provider Enumeration Date:
07/10/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BOUZ
Authorized Official First Name:
NAJIB
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
626-963-4124

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)