# SANTA MONICA SURGICAL CENTER

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

## Provider details

- **NPI number:** 1669667895
- **Authorized official:** DR. JOHN JAIN M.D. (PRESIDENT)
- **Authorized official phone:** (213) 713-2569

## Contact information

- **Practice address:** 2825 SANTA MONICA BLVD, SUITE 100B, SANTA MONICA, CA 90404-2429
- **Practice address phone:** (310) 566-1474
- **Practice address fax:** (310) 566-1488
- **Mailing address:** 2825 SANTA MONICA BLVD, SUITE 100B, SANTA MONICA, CA 90404-2429
- **Mailing address phone:** (310) 566-1474
- **Mailing address fax:** (310) 566-1488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 136537 | CA | Yes |

## Other

- **Enumeration date:** 09/11/2007
- **Last updated:** 09/11/2007