# IE SURGICAL, INC

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

## Provider details

- **NPI number:** 1801055678
- **Authorized official:** DR. RYAN F OSBORNE M.D. (OWNER)
- **Authorized official phone:** (310) 657-0871

## Contact information

- **Practice address:** 8631 W 3RD ST STE 945E, LOS ANGELES, CA 90048-5912
- **Practice address phone:** (310) 657-0871
- **Practice address fax:** (310) 657-0142
- **Mailing address:** PO BOX 451400, WESTCHESTER, CA 90045-8515
- **Mailing address phone:** (310) 657-0871
- **Mailing address fax:** (310) 657-0142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 002172882-0001-6 | CA | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 06/05/2008