# NEO SURGERY CENTER INC

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

## Provider details

- **NPI number:** 1457666885
- **Authorized official:** DR. BRENT MOELLEKEN MD (MEDICAL DIRECTOR/OWNER)
- **Authorized official phone:** (310) 273-1001

## Contact information

- **Practice address:** 120 S SPALDING DR, 110, BEVERLY HILLS, CA 90212-1800
- **Practice address phone:** (310) 273-1001
- **Practice address fax:** (310) 205-4881
- **Mailing address:** 120 S SPALDING DR, 110, BEVERLY HILLS, CA 90212-1800
- **Mailing address fax:** (310) 205-4881

## Taxonomy

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

## Other

- **Enumeration date:** 08/10/2010
- **Last updated:** 11/04/2010
