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Organization
SANTA MONICA SURGERY, LLC
Active
Organization
SANTA MONICA SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN K JAIN M.D. (MANAGER)
(310) 566-1474
Entity
Organization
Contact information
Practice address
2825 SANTA MONICA BLVD, SUITE 100B, SANTA MONICA, CA 90404-2429
(310) 566-1474
(310) 566-1488
Mailing address
2825 SANTA MONICA BLVD, SUITE 100B, SANTA MONICA, CA 90404-2429
(310) 566-1474
(310) 566-1488
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/02/2010
Last updated
04/14/2011
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