# RISSER SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1124395876
- **Authorized official:** ANDREW BALL (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (310) 651-2050

## Contact information

- **Practice address:** 2615 E WASHINGTON BLVD, PASADENA, CA 91107-1412
- **Practice address phone:** (626) 269-2601
- **Mailing address:** 2615 E WASHINGTON BLVD, PASADENA, CA 91107-1412
- **Mailing address phone:** (626) 269-2601

## Taxonomy

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

## Other

- **Enumeration date:** 11/23/2011
- **Last updated:** 03/27/2024