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Organization
AIRPORT URGENT CARE SURGERY CENTER
Active
Organization
AIRPORT URGENT CARE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMSHID SHARIATI MD (OWNER)
(310) 403-7809
Entity
Organization
Contact information
Practice address
1117 W MANCHESTER BLVD STE M, INGLEWOOD, CA 90301-1596
(310) 299-5404
(310) 602-6287
Mailing address
PO BOX 11147, MARINA DEL REY, CA 90295-7147
(310) 299-5404
(310) 602-6287
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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