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Organization
DIAGNOSTIC AND INTERVENTIONAL SURGICAL CENTER
Active
Organization
DIAGNOSTIC AND INTERVENTIONAL SURGICAL CENTER
Active
Other names
DIAGNOSTIC AND INTERVENTIONAL SURGICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA X PADILLA (ADMINISTRATOR / DIRECTOR OF NURSING)
(310) 574-0426
Entity
Organization
Contact information
Practice address
13160 MINDANAO WAY, STE. 150, MARINA DEL REY, CA 90292
(310) 424-2000
Mailing address
13160 MINDANAO WAY STE 150, MARINA DEL REY, CA 90292-6393
(310) 574-0440
(310) 574-0441
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/04/2007
Last updated
09/02/2025
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