# STEVEN G KHWARG M D PROF CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245367051
- **Authorized official:** SUSAN BRUMMETT (ADMINISTRATOR)
- **Authorized official phone:** (615) 345-6879

## Contact information

- **Practice address:** 201 S ALVARADO ST, SUITE 718, LOS ANGELES, CA 90057-2320
- **Practice address phone:** (213) 483-0150
- **Practice address fax:** (213) 484-1417
- **Mailing address:** 201 S ALVARADO ST, SUITE 718, LOS ANGELES, CA 90057-2320
- **Mailing address phone:** (213) 483-0150
- **Mailing address fax:** (213) 484-1417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 930000943 | CA | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 04/06/2012
