# CHARLEVILLE SURGICENTER, A MEDICAL CORP.

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

## Provider details

- **NPI number:** 1811071129
- **Authorized official:** DR. ADRIEN AIACHE M.D. (OWNER)
- **Authorized official phone:** (310) 440-3131

## Contact information

- **Practice address:** 9884 SANTA MONICA BLVD, STE. 102, BEVERLY HILLS, CA 90212-1622
- **Practice address phone:** (310) 276-5856
- **Mailing address:** 11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
- **Mailing address phone:** (310) 440-3131

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/22/2020