# MIKO SURGERY CENTER, INC.

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

## Provider details

- **NPI number:** 1881028629
- **Authorized official:** MICHAEL K OBENG MD (CEO)
- **Authorized official phone:** (310) 275-2705

## Contact information

- **Practice address:** 435 N ROXBURY DR, SUITE 205B, BEVERLY HILLS, CA 90210-5027
- **Practice address phone:** (310) 275-2705
- **Practice address fax:** (310) 275-2701
- **Mailing address:** 435 N ROXBURY DR, SUITE 205B, BEVERLY HILLS, CA 90210-5027
- **Mailing address phone:** (310) 275-2705
- **Mailing address fax:** (310) 275-2701

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2013
- **Last updated:** 12/31/2013