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Organization
THIRD STREET SURGERY CENTER LLC
Active
Organization
THIRD STREET SURGERY CENTER LLC
Active
Other names
Third Street Surgery Center LP
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX LIU MD (VICE PRESIDENT/MEDICAL DIRECTOR)
(213) 617-9194
Entity
Organization
Contact information
Practice address
420 E 3RD ST STE 110, LOS ANGELES, CA 90013-1645
(213) 617-9194
Mailing address
420 E 3RD ST, SUITE 110, LOS ANGELES, CA 90013-1644
(213) 617-9194
(213) 617-0605
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
930001001
CA
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
Other
Enumeration date
01/10/2007
Last updated
11/04/2021
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