Organization
LARCHMONT SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD PRELL (MANAGER)
(626) 404-9969
Entity
Organization
Contact information
Practice address
321 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3025
(626) 404-9969
Mailing address
321 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3025
(626) 404-9969
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/31/2013
Last updated
01/03/2014
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