# AST SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1932641420
- **Authorized official:** DR. NEIL GHODADRA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 801-6741

## Contact information

- **Practice address:** 120 S SPALDING DR STE 200, BEVERLY HILLS, CA 90212-1840
- **Practice address phone:** (310) 857-8528
- **Mailing address:** 9675 BRIGHTON WAY STE B1, BEVERLY HILLS, CA 90210-5144
- **Mailing address phone:** (310) 801-6741
- **Mailing address fax:** (310) 227-8221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A116163 | CA | Yes |

## Other

- **Enumeration date:** 11/15/2016
- **Last updated:** 10/01/2019