Organization
EVOLVE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL J. BRODY DPM (OWNER)
(310) 982-2004
Entity
Organization
Contact information
Practice address
3831 HUGHES AVE., SUITE 700, CULVER CITY, CA 90232
(310) 982-2004
Mailing address
10866 WASHINGTON BLVD., SUITE 160, CULVER CITY, CA 90232
(310) 982-2004
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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