# DIESEL SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diesel Surgery Center, LP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619414018
- **Authorized official:** DAVID GHOZLAND M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 393-9359

## Contact information

- **Practice address:** 11645 WILSHIRE BLVD STE 987, LOS ANGELES, CA 90025-6814
- **Practice address phone:** (310) 393-9359
- **Mailing address:** 11645 WILSHIRE BLVD STE 987, LOS ANGELES, CA 90025-6814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A86726 | CA | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2017
- **Last updated:** 06/16/2018
