# BCO SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1356874127
- **Authorized official:** BRADLEY THOMAS M.D. (OWNER)
- **Authorized official phone:** (310) 546-3461

## Contact information

- **Practice address:** 400 S SEPULVEDA BLVD STE 250, MANHATTAN BEACH, CA 90266-6876
- **Practice address phone:** (310) 546-3461
- **Mailing address:** 400 S SEPULVEDA BLVD STE 250, MANHATTAN BEACH, CA 90266-6876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A72166 | CA | Yes |

## Other

- **Enumeration date:** 04/07/2017
- **Last updated:** 04/07/2017
