# DIAGNOSTIC AND INTERVENTIONAL SURGICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DIAGNOSTIC AND INTERVENTIONAL SURGICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740337435
- **Authorized official:** BRIANNA X PADILLA (ADMINISTRATOR / DIRECTOR OF NURSING)
- **Authorized official phone:** (310) 574-0426

## Contact information

- **Practice address:** 13160 MINDANAO WAY, STE. 150, MARINA DEL REY, CA 90292
- **Practice address phone:** (310) 424-2000
- **Mailing address:** 13160 MINDANAO WAY STE 150, MARINA DEL REY, CA 90292-6393
- **Mailing address phone:** (310) 574-0440
- **Mailing address fax:** (310) 574-0441

## Taxonomy

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

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 09/02/2025