# IMAGEBASED SURGICENTER CORPORATION

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

## Provider details

- **NPI number:** 1679624233
- **Authorized official:** DR. AARON GERSHON FILLER M.D. PH.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 314-6410

## Contact information

- **Practice address:** 2716 OCEAN PARK BLVD, SUITE 1007, SANTA MONICA, CA 90405-5207
- **Practice address phone:** (310) 314-6410
- **Practice address fax:** (310) 314-2414
- **Mailing address:** 2716 OCEAN PARK BLVD, SUITE 1007, SANTA MONICA, CA 90405-5207
- **Mailing address phone:** (310) 314-6410
- **Mailing address fax:** (310) 314-2414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0000694940-AAAHC | CA | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 08/22/2020