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Organization
SOMA SURGERY CENTER INC.
Active
Organization
SOMA SURGERY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN S RAVAEI (OWNER)
(310) 673-0523
Entity
Organization
Contact information
Practice address
8929 WILSHIRE BLVD STE 102, BEVERLY HILLS, CA 90211-1950
(310) 855-8936
(413) 643-6360
Mailing address
2160 CENTURY PARK E APT 602, LOS ANGELES, CA 90067-2214
(310) 673-0523
(413) 643-6360
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
00014995
CA
Other
Enumeration date
04/30/2012
Last updated
07/08/2013
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