Organization
INDEPENDENCE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY ROSEN M.D. (PARTNER)
(310) 440-3131
Entity
Organization
Contact information
Practice address
6701 ROCKSIDE RD, STE. 101, INDEPENDENCE, OH 44131-2358
(216) 524-0297
Mailing address
11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
(310) 440-3131
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2006
Last updated
08/22/2020
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