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Organization
MODESTO SPECIALTY SURGERY CENTER PC
Active
Organization
MODESTO SPECIALTY SURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL P. TAHERI MD (PRESIDENT)
(310) 993-8994
Entity
Organization
Contact information
Practice address
10884 SANTA MONICA BLVD, #300, LOS ANGELES, CA 90025-4646
(310) 993-8994
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
(310) 993-8994
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
CA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/15/2013
Last updated
07/21/2022
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