# PALOS VERDES AMBULATORY SURGERY CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PALOS VERDES AMBULATORY SURGERY MEDICAL CENTER, INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487734695
- **Authorized official:** MS. CHRISTINE PETTI M.D. (OWNER)
- **Authorized official phone:** (310) 539-5888

## Contact information

- **Practice address:** 3400 LOMITA BLVD, STE. 307, TORRANCE, CA 90505-4909
- **Practice address phone:** (310) 539-5888
- **Mailing address:** 11999 SAN VICENTE BLVD, \#440, LOS ANGELES, CA 90049-5131
- **Mailing address phone:** (310) 471-5852
- **Mailing address fax:** (310) 471-3958

## Taxonomy

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

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 02/22/2013