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Organization
SURGICAL TREATMENT AND REGENERATION II, LLC
Active
Organization
SURGICAL TREATMENT AND REGENERATION II, LLC
Active
Other names
Star Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL GHODADRA MD (MEDICAL DIRECTOR)
(678) 596-1344
Entity
Organization
Contact information
Practice address
2711 N SEPULVEDA BLVD, #223, MANHATTAN BEACH, CA 90266-2725
(760) 375-3974
(760) 375-3953
Mailing address
120 S SPALDING DR, SUITE 200, BEVERLY HILLS, CA 90212-1800
(760) 375-3974
(760) 375-3953
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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