# PACIFIC VASCUCARE SURGERY CENTER

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

## Provider details

- **NPI number:** 1770072803
- **Authorized official:** DAYANA FIGUEROA (CREDENTIALING MANAGER)
- **Authorized official phone:** (310) 448-2693

## Contact information

- **Practice address:** 1660 W 3RD ST, LOS ANGELES, CA 90017-1138
- **Practice address phone:** (213) 748-1414
- **Mailing address:** 1660 W 3RD ST, LOS ANGELES, CA 90017-1138

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2018
- **Last updated:** 05/03/2018