# SOCAL BREATHE FREE ASC LLC

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

## Provider details

- **NPI number:** 1760141022
- **Authorized official:** TAYLOR BORANE (ADMINISTRATOR)
- **Authorized official phone:** (520) 979-6774

## Contact information

- **Practice address:** 201 S BUENA VISTA ST STE 300, BURBANK, CA 91505-4580
- **Practice address phone:** (520) 979-6774
- **Mailing address:** 201 S BUENA VISTA ST STE 300, BURBANK, CA 91505-4580

## Taxonomy

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

## Other

- **Enumeration date:** 12/14/2021
- **Last updated:** 12/14/2021