Organization
BCO SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY THOMAS M.D. (OWNER)
(310) 546-3461
Entity
Organization
Contact information
Practice address
400 S SEPULVEDA BLVD STE 250, MANHATTAN BEACH, CA 90266-6876
(310) 546-3461
Mailing address
400 S SEPULVEDA BLVD STE 250, MANHATTAN BEACH, CA 90266-6876
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A72166
CA
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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