# LASER & AMBULATORY SURG CTR OF PASA

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

## Provider details

- **NPI number:** 1023305984
- **Authorized official:** WARREN STOUT MD (MD PRESIDENT)
- **Authorized official phone:** (626) 449-6494

## Contact information

- **Practice address:** 800 E. COLORADO BLVD., SUITE 260, PASADENA, CA 91101
- **Practice address phone:** (626) 449-6494
- **Practice address fax:** (626) 449-0813
- **Mailing address:** 800 E. COLORADO BLVD., SUITE 260, PASADENA, CA 91101
- **Mailing address phone:** (626) 449-6494
- **Mailing address fax:** (626) 449-0813

## Taxonomy

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

## Other

- **Enumeration date:** 06/29/2011
- **Last updated:** 05/12/2015