PACIFIC SURGICAL INSTITUTE OF PAIN MANAGEMENT
Ambulatory Health at Camino Del Rio, San Diego, CA

License number
California 090000607
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MR. MATTHEW D RIFAT ATTY
Title: ADMINISTRATOR
Phone: (619) 282-0216
Address
Address
3703 Camino Del Rio SOUTH SUITE 101, San Diego, CA 92108
National Provider ID: 1528130879
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PACIFIC SURGICAL INSTITUTE OF PAIN MANAGEMENT

Glendale, CA  -  San Diego, CA

Registration:
Oct 23, 1997
Addresses:
3703 Camino Del Rio S SUITE 200, Glendale, CA 91208 (Physical)
3703 Camino Del Rio S, San Diego, CA 92108
State ID:
02035357
Business type:
Articles of Incorporation
President:
David J. Smith (President)
Agent:
Matthew D. Rifat
Categories:
Physicians & Surgeons

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