# MID-CITIES MEDICAL LASER AND SURGERY CENTER INC.

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

## Provider details

- **NPI number:** 1851843361
- **Authorized official:** SANDEEP K KHANNA M.D. (PRESIDENT)
- **Authorized official phone:** (323) 724-1075

## Contact information

- **Practice address:** 12017 PARAMOUNT BLVD, DOWNEY, CA 90242-2307
- **Practice address phone:** (562) 644-6948
- **Mailing address:** 1700 E CESAR E CHAVEZ AVE STE 3400, LOS ANGELES, CA 90033-2469

## Taxonomy

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

## Other

- **Enumeration date:** 10/31/2016
- **Last updated:** 10/31/2016