Organization
PALMDALE AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY OMIDI (EXECUTIVE DIRECTOR)
(310) 714-1888
Entity
Organization
Contact information
Practice address
1529 E PALMDALE BLVD, 207, PALMDALE, CA 93550-2034
(661) 949-6000
Mailing address
9001 WILSHIRE BLVD, 106, BEVERLY HILLS, CA 90211-1838
(310) 714-1888
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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