Healthcare Provider Details

I. General information

NPI: 1619156924
Provider Name (Legal Business Name): HELIX SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2007
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8881 FLETCHER PKWY STE 241
LA MESA CA
91942-3134
US

IV. Provider business mailing address

8881 FLETCHER PKWY STE 241
LA MESA CA
91942-3134
US

V. Phone/Fax

Practice location:
  • Phone: 619-697-1316
  • Fax: 619-697-2981
Mailing address:
  • Phone: 619-697-1316
  • Fax: 619-697-2981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. CHARLES J SAROSY
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 619-697-1316