Organization
DTLA PAIN SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASAN BADDAY (OWNER)
(949) 872-2633
Entity
Organization
Contact information
Practice address
1513 S GRAND AVE, SUITE 380, LOS ANGELES, CA 90015-3070
(949) 872-2633
(888) 885-5414
Mailing address
5 HOLLAND, SUITE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437700465
ASC
CA
05
—
1669470068
—
CA
Enumeration date
11/18/2019
Last updated
10/18/2023
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