# SOMA SURGERY CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013275965
- **Authorized official:** DR. SEAN S RAVAEI (OWNER)
- **Authorized official phone:** (310) 673-0523

## Contact information

- **Practice address:** 8929 WILSHIRE BLVD STE 102, BEVERLY HILLS, CA 90211-1950
- **Practice address phone:** (310) 855-8936
- **Practice address fax:** (413) 643-6360
- **Mailing address:** 2160 CENTURY PARK E APT 602, LOS ANGELES, CA 90067-2214
- **Mailing address phone:** (310) 673-0523
- **Mailing address fax:** (413) 643-6360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 00014995 | CA | Yes |

## Other

- **Enumeration date:** 04/30/2012
- **Last updated:** 07/08/2013