Organization
STEVEN G KHWARG M D PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BRUMMETT (ADMINISTRATOR)
(615) 345-6879
Entity
Organization
Contact information
Practice address
201 S ALVARADO ST, SUITE 718, LOS ANGELES, CA 90057-2320
(213) 483-0150
(213) 484-1417
Mailing address
201 S ALVARADO ST, SUITE 718, LOS ANGELES, CA 90057-2320
(213) 483-0150
(213) 484-1417
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
930000943
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01075F
—
CA
Enumeration date
02/27/2007
Last updated
04/06/2012
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