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Organization
PLAYA ADVANCE SURGICAL INSTITUTE LLC
Active
Organization
PLAYA ADVANCE SURGICAL INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLADYS ANNE HAPPER NP (MANAGING MEMBER)
(310) 600-5846
Entity
Organization
Contact information
Practice address
5450 LINCOLN BLVD, LOS ANGELES, CA 90094-2002
(310) 600-5846
Mailing address
4712 ADMIRALTY WAY, #930, MARINA DEL REY, CA 90292-6905
(310) 600-5846
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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