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Organization
REVIVE SURGERY CENTER PASADENA LLC
Active
Organization
REVIVE SURGERY CENTER PASADENA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVUNI HARRISON (BILLING ADMINISTRATOR)
(909) 710-2020
Entity
Organization
Contact information
Practice address
333 S ARROYO PKWY FL 3, PASADENA, CA 91105-2581
(626) 537-3737
(626) 537-3738
Mailing address
333 S ARROYO PKWY FL 3, PASADENA, CA 91105-2581
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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