Organization
GREAT LIFE SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELLA M SHKLYARENKO (MANAGER)
(310) 326-9080
Entity
Organization
Contact information
Practice address
3445 PACIFIC COAST HWY # 250, TORRANCE, CA 90505-6658
(310) 326-9080
(310) 326-8308
Mailing address
3445 PACIFIC COAST HWY # 250, TORRANCE, CA 90505-6658
(310) 326-9080
(310) 326-8308
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
04/09/2019
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