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Organization
INNOVA SURGERY CENTER, LLC
Active
Organization
INNOVA SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CASSILETH MD (PRESIDENT)
(310) 278-8200
Entity
Organization
Contact information
Practice address
436 N BEDFORD DR STE 105, BEVERLY HILLS, CA 90210-4323
(310) 385-8819
Mailing address
436 N BEDFORD DR STE 105, BEVERLY HILLS, CA 90210-4323
(310) 385-8819
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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