Organization
ELITE SURGERY CENTER OF SOUTH BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRAN TABAN MD (CHAIRMAN, GOVERNING BODY)
(424) 247-9090
Entity
Organization
Contact information
Practice address
20528 HAWTHORNE BLVD STE 301, TORRANCE, CA 90503-3202
(424) 247-9090
Mailing address
20528 HAWTHORNE BLVD STE 301, TORRANCE, CA 90503-3202
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
10/16/2020
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