Provider Demographics
NPI:1053512624
Name:SOUTHWEST OUTPATIENT SURGERY CENTER, INC
Entity Type:Organization
Organization Name:SOUTHWEST OUTPATIENT SURGERY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:661-833-0101
Mailing Address - Street 1:1601 MILL ROCK WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1315
Mailing Address - Country:US
Mailing Address - Phone:661-833-0101
Mailing Address - Fax:661-397-9547
Practice Address - Street 1:1601 MILL ROCK WAY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-1315
Practice Address - Country:US
Practice Address - Phone:661-833-0101
Practice Address - Fax:661-397-9547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical