# SOUTHERN CALIFORNIA HEAD & NECK SURGERY CENTER

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

## Provider details

- **NPI number:** 1629012448
- **Authorized official:** ROBERT J. ADAIR M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 829-7792

## Contact information

- **Practice address:** 1301 20TH ST, SUITE 300, SANTA MONICA, CA 90404-2050
- **Practice address phone:** (310) 829-7792
- **Practice address fax:** (310) 829-4136
- **Mailing address:** 1301 20TH ST, SUITE 300, SANTA MONICA, CA 90404-2050
- **Mailing address phone:** (310) 829-7792
- **Mailing address fax:** (310) 829-4136

## Taxonomy

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

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 03/14/2008