Organization
SURGICAL TREATMENT AND REGENERATION II, LLC
Active
Other names
Star Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL GHODADRA MD (MEDICAL DIRECTOR)
(678) 596-1344
Entity
Organization
Contact information
Practice address
2711 N SEPULVEDA BLVD, #223, MANHATTAN BEACH, CA 90266-2725
(760) 375-3974
(760) 375-3953
Mailing address
120 S SPALDING DR, SUITE 200, BEVERLY HILLS, CA 90212-1800
(760) 375-3974
(760) 375-3953
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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