Organization
VENICE BEACH SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTO ROJAS M.D. (MEDICAL DIRECTOR)
(310) 391-7143
Entity
Organization
Contact information
Practice address
11961 VENICE BLVD, LOS ANGELES, CA 90066-3900
(310) 391-7143
(310) 397-9688
Mailing address
11961 VENICE BLVD, LOS ANGELES, CA 90066-3900
(310) 391-7143
(310) 397-9688
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A41262
CA
Other
Enumeration date
12/04/2007
Last updated
12/15/2010
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