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Organization
CHARLEVILLE SURGICENTER, A MEDICAL CORP.
Active
Organization
CHARLEVILLE SURGICENTER, A MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIEN AIACHE M.D. (OWNER)
(310) 440-3131
Entity
Organization
Contact information
Practice address
9884 SANTA MONICA BLVD, STE. 102, BEVERLY HILLS, CA 90212-1622
(310) 276-5856
Mailing address
11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
(310) 440-3131
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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