Organization
HEALTHCARE PARTNERS ASC-LB, LLC
Active
Other names
DaVita Medical ASC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G. LIETHEN (SECRETARY)
(952) 205-6262
Entity
Organization
Contact information
Practice address
2600 REDONDO AVE, LONG BEACH, CA 90806-2325
(562) 988-7000
Mailing address
P.O. BOX 6400, TORRANCE, CA 90504-6400
(562) 988-7000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2012
Last updated
08/19/2019
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