is a Ambulatory Surgical in Los Angeles, California. practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for is 1578773495. The last update date is .
's current location address is 9763 W Pico Blvd, Los Angeles, California. You can contact this provider via phone number 3107720098 and fax number 3107720013. The mailing address for is 9763 W Pico Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 9763 W Pico Blvd, Los Angeles, California |
Phone Number | 3107720098 |
Fax Number | 3107720013 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1578773495 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 9763 W Pico Blvd |
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City | Los Angeles |
State | California (CA) |
Post Code | 900354748 |
Phone Number | 3107720098 |
Fax Number | 3107720013 |
Provider's Primary Taxonomy Detail
Speciality | Ambulatory Surgical |
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Taxonomy | 261Qa1903X |
Licence No | 930000918 |
Definition: Provides outpatient surgical services not requiring hospitalization. |
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