# SURGICAL TREATMENT AND REGENERATION II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Star Surgical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174987135
- **Authorized official:** NEIL GHODADRA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (678) 596-1344

## Contact information

- **Practice address:** 2711 N SEPULVEDA BLVD, \#223, MANHATTAN BEACH, CA 90266-2725
- **Practice address phone:** (760) 375-3974
- **Practice address fax:** (760) 375-3953
- **Mailing address:** 120 S SPALDING DR, SUITE 200, BEVERLY HILLS, CA 90212-1800
- **Mailing address phone:** (760) 375-3974
- **Mailing address fax:** (760) 375-3953

## Taxonomy

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

## Other

- **Enumeration date:** 04/06/2016
- **Last updated:** 04/06/2016
