Organization
ORTHOPAEDIC INSTITUTE FOR CHILDREN AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MOON (CHIEF FINANCIAL OFFICER)
(213) 742-1044
Entity
Organization
Contact information
Practice address
403 W ADAMS BLVD, LOS ANGELES, CA 90007-2664
(213) 742-1000
(213) 742-1435
Mailing address
403 W ADAMS BLVD, LOS ANGELES, CA 90007-2664
(213) 742-1000
(213) 742-1435
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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