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Organization
90210 SURGERY CENTER
Active
Organization
90210 SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENATO CALABRIA M,D., (OWNER)
(310) 777-0069
Entity
Organization
Contact information
Practice address
436 N. BEDFORD DR., SUITE 200, BEVERLY HILLS, CA 90210
(310) 777-0069
Mailing address
436 N BEDFORD DR STE 200, BEVERLY HILLS, CA 90210-4312
(310) 777-0069
(310) 858-3150
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A43041
CA
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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