# AMBULATORY SURGERY CENTER AT THE JEFFERSON PAIN & REHAB CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1558613067
- **Authorized official:** DR. JOHN KEUN-SANG LEE M.D. (MEDICAL DIRECTOR/PRESIDENT)
- **Authorized official phone:** (412) 885-5400

## Contact information

- **Practice address:** 4735 CLAIRTON BLVD, PITTSBURGH, PA 15236-2115
- **Practice address phone:** (412) 885-5400
- **Practice address fax:** (412) 885-1773
- **Mailing address:** 4735 CLAIRTON BLVD, PITTSBURGH, PA 15236-2115
- **Mailing address phone:** (412) 885-5400
- **Mailing address fax:** (412) 885-1773

## Taxonomy

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

## Other

- **Enumeration date:** 10/08/2012
- **Last updated:** 01/20/2015