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Organization
INTEGRATED SURGERY CENTER LLC
Active
Organization
INTEGRATED SURGERY CENTER LLC
Active
Other names
Integrated Surgery Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN NISSANOFF M.D (CEO)
(310) 855-0752
Entity
Organization
Contact information
Practice address
8670 WILSHIRE BLVD, SUITE 203, BEVERLY HILLS, CA 90211-2924
(310) 855-0752
Mailing address
POST OFFICE BOX 269092, OKLAHOMA CITY, OK 73126-9092
(310) 855-0752
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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