Organization
WILSHIRE CENTER FOR AMBULATORY SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MERRICK SAGE D.O. (MEDICAL DIRECTOR)
(213) 250-5333
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD, SUITE 1515, LOS ANGELES, CA 90017-3901
(213) 250-7243
(213) 250-8272
Mailing address
1127 WILSHIRE BLVD, SUITE 1515, LOS ANGELES, CA 90017-3901
(213) 250-7243
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
20A5971
CA
Other
Enumeration date
07/31/2007
Last updated
01/29/2015
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