Organization
LASER & AMBULATORY SURG CTR OF PASA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN STOUT MD (MD PRESIDENT)
(626) 449-6494
Entity
Organization
Contact information
Practice address
800 E. COLORADO BLVD., SUITE 260, PASADENA, CA 91101
(626) 449-6494
(626) 449-0813
Mailing address
800 E. COLORADO BLVD., SUITE 260, PASADENA, CA 91101
(626) 449-6494
(626) 449-0813
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2011
Last updated
05/12/2015
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