Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners for Children Ambulatory Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY G. GANTT (PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
909 S FAIR OAKS AVE, PASADENA, CA 91105-2625
(213) 388-3151
(213) 387-7528
Mailing address
PO BOX 8500, LOCKBOX #7642, PHILADELPHIA, PA 19178-7642
(213) 388-3151
(213) 387-7528
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
11/27/2013
Last updated
03/12/2019
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