# DIRECTED INTERVENTIONAL SURGERY CTR INC A PROFESSIONAL MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Directed Interventional Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679694392
- **Authorized official:** SALLY CASE (BILLING MANAGER)
- **Authorized official phone:** (310) 829-9788

## Contact information

- **Practice address:** 2827 WILSHIRE BLVD, SANTA MONICA, CA 90403-4801
- **Practice address phone:** (310) 829-9788
- **Practice address fax:** (310) 453-1576
- **Mailing address:** 2827 WILSHIRE BLVD, SANTA MONICA, CA 90403
- **Mailing address phone:** (310) 829-9788
- **Mailing address fax:** (310) 453-1576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S051520 | CA | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 02/03/2017