Pacific Minimally Invasive Surgeons, Inc

LBN: Pacific Minimally Invasive Surgeons, Inc
Pacific Minimally Invasive Surgeons, Inc is an health care organization with primary practice located at 1330 W Covina Blvd Suite 101, San Dimas CA 91773-3200. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Pacific Minimally Invasive Surgeons, Inc can be contacted via phone (909) 599-6784, or through Dudziak, Donna E via phone (909) 599-6784.

Contact Information

Primary practice address
1330 W Covina Blvd Suite 101 San Dimas CA 91773-3200
Phone: (909) 599-6784
Fax: (909) 599-7073
Website:
Map and Directions
Authorized official contact:
Name: Dudziak, Donna E Doctor of Medicine (MD)
Phone: (909) 599-6784

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A87866 California

Profile Details

NPI number 1760681043
LBN Legal business name Pacific Minimally Invasive Surgeons, Inc
DBA Doing business as
Authorized official Dudziak, Donna E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Jul 16th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760681043 NPPES
Texas Other 8G0894 MEDICARE ID TYPE UNSPECIF

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