# PIVAC ASC LLC

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

## Provider details

- **NPI number:** 1679010417
- **Authorized official:** SPENCER L. BROWN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 348-9604

## Contact information

- **Practice address:** 6076 BRISTOL PKWY, SUITE 108, CULVER CITY, CA 90230-6600
- **Practice address phone:** (310) 348-9604
- **Mailing address:** 40 VALLEY STREAM PKWY, SUITE 100, MALVERN, PA 19355-1407

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2017
- **Last updated:** 03/11/2025