SO
SURGCENTER OF SAN DIEGO, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
ESCONDIDO, CA
Licensed since
2017
Rate
—
Federal identifiers
NPI registry number1295246981
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients162
RevalidationDue 2024-09-30
Authorized official
NameERIC BOON
TitleOFFICER/AUTHORIZED OFFICIAL
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