Provider Demographics
NPI:1356685457
Name:ZAHRA SURGERY CENTER,LP
Entity Type:Organization
Organization Name:ZAHRA SURGERY CENTER,LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ELLIS
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:310-953-5991
Mailing Address - Street 1:28975 OLD TOWN FRONT ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-2801
Mailing Address - Country:US
Mailing Address - Phone:951-719-3111
Mailing Address - Fax:951-297-2232
Practice Address - Street 1:28975 OLD TOWN FRONT ST
Practice Address - Street 2:SUITE 100
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-2801
Practice Address - Country:US
Practice Address - Phone:951-719-3111
Practice Address - Fax:951-297-2232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical