Organization
PHILADELPHIA SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA BOGACHEVA MBA, PHD (ADMINISTRATROR)
(310) 663-6049
Entity
Organization
Contact information
Practice address
124 N NARBERTH AVE, NARBERTH, PA 19072-2211
(484) 270-8474
(484) 270-8456
Mailing address
920 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1602
(484) 270-8474
(484) 270-8456
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
PA
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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