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Organization
ADDISON ASC LLC
Active
Organization
ADDISON ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARISSE K LEE M.D. (MEDICAL DIRECTOR)
(818) 325-0400
Entity
Organization
Contact information
Practice address
4955 VAN NUYS BLVD, SUITE 719, SHERMAN OAKS, CA 91403-1801
(818) 325-0400
Mailing address
4955 VAN NUYS BLVD, SUITE 719, SHERMAN OAKS, CA 91403-1801
(818) 325-0400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/21/2016
Last updated
10/31/2016
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