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Organization
ALVARADO EYE SURGERY CENTER LLC
Active
Organization
ALVARADO EYE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK KELLY (PRESIDENT, BOARD OF MANAGERS)
(615) 345-6900
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD STE 1515, LOS ANGELES, CA 90017-4006
(213) 483-0150
Mailing address
401 COMMERCE ST, SUITE 600, NASHVILLE, TN 37219-2446
(615) 345-6900
(615) 691-7214
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/13/2011
Last updated
01/10/2025
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