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Organization

SOUTH PACIFIC MEDICAL ASSOCIATES INC

Active
Other names
South Pacific Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTINA KUTSINA (MANAGER)
(818) 990-9080
Entity
Organization

Contact information

Practice address
16311 VENTURA BLVD, STE#1010, ENCINO, CA 91436-2124
(818) 990-9080
(818) 990-9758
Mailing address
16311 VENTURA BLVD, STE#1010, ENCINO, CA 91436-2124
(818) 990-9080
(818) 990-9758

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
90472196
CA

Other

Enumeration date
09/27/2007
Last updated
10/12/2007
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