Organization
LA/OC SURGICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY F. ROSEN M.D. (PRESIDENT)
(310) 318-5939
Entity
Organization
Contact information
Practice address
510 N PROSPECT AVE, SUITE 202, REDONDO BEACH, CA 90277-3028
(310) 318-5939
Mailing address
510 N PROSPECT AVE, SUITE 202, REDONDO BEACH, CA 90277-3028
(310) 318-5939
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
G54762
CA
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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